Individual
TRUDE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2451 E BASELINE RD STE 200, GILBERT, AZ 85234-2405
(480) 507-2199
(480) 507-2218
Mailing address
2451 E BASELINE RD STE 130, GILBERT, AZ 85234-2487
(480) 507-2199
(480) 507-2218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1571
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-18650
AZ LICENSE
AZ
Enumeration date
07/23/2009
Last updated
01/21/2021
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