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Organization
ELIZABETH JUDD LLC
Active
Organization
ELIZABETH JUDD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JUDD (OWNER)
(314) 606-9467
Entity
Organization
Contact information
Practice address
2025 S BRENTWOOD BLVD STE 202, BRENTWOOD, MO 63144-1851
(314) 606-9467
Mailing address
2025 S BRENTWOOD BLVD STE 202, BRENTWOOD, MO 63144-1851
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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