Individual
GLENN HUDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
910 16TH AVE, LONGVIEW, WA 98632-2302
(360) 423-2890
(360) 577-9012
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LW00005263
WA
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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