TANA HUDSON

SOCORRO, NM
NPI1245500974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-08462)
Enumeration Date2012-01-11
Last Update Date2016-04-08
Business Address
-- TANA HUDSON LISW
1202 HIGHWAY 60 BUILDING D
SOCORRO, NM 87801-3914
Phone number: 575-838-4690
Mailing Address
-- TANA HUDSON LISW
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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