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Individual
JUDITH B FOX
Active
Individual
JUDITH B FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1029742
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415032
VALUE OPTIONS
MA
01
—
P07450
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/06/2007
Last updated
07/08/2007
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