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Individual
PEYTON ROSE JUDGE
Active
Individual
PEYTON ROSE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW02866
RI
1041C0700X
Clinical Social Worker
Primary
ISW04562
RI
106S00000X
Behavior Technician
—
NULL
Other
Enumeration date
05/21/2018
Last updated
09/09/2025
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