Glenn Hudson, LICSW

NPI #1477511202 in Longview, Washington

Provider Information

NPI Number: 1477511202
Entity Type: Individual
Name: Glenn Hudson, LICSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist - Clinical
Credential: LICSW
Enumeration Date: May 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 910 16TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2302
Phone: (360) 423-2890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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