Individual
JUDITH MAGDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, CPAT
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Mailing address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083
C.P.A.T.
KY
01
—
9406
ATR-BC
KY
Enumeration date
03/19/2007
Last updated
07/08/2007
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