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Individual
MS. LAUREL BROOKE JUDD
Active
Individual
MS. LAUREL BROOKE JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178.006609
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
28728
IL
Other
Enumeration date
03/08/2011
Last updated
08/07/2013
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