Individual
RALPH CRUDUP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6149 N 23RD AVE, PHOENIX, AZ 85015-1821
(602) 460-9288
Mailing address
2415 W STELLA LN, PHOENIX, AZ 85015-1816
(602) 460-9288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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