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Individual
MRS. JUDITH ELLEN STAIB
Active
Individual
MRS. JUDITH ELLEN STAIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CS APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E28693
CT
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
CT001286
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CT001286
CO
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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