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Individual
JUDITH LYNN ALLEN
Active
Individual
JUDITH LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11845436
CAQH
FL
05
—
7283700
—
FL
05
—
768827000
—
FL
01
—
SW7092
DOH LICENSE #
FL
Enumeration date
05/08/2007
Last updated
07/21/2022
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