Individual
DAVID LYLE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6119 N 32ND AVE, PHOENIX, AZ 85017-1511
(623) 210-3961
Mailing address
6119 N 32ND AVE, PHOENIX, AZ 85017-1511
(623) 210-3961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12598
AZ
Other
Enumeration date
01/23/2018
Last updated
05/17/2026
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