Individual
JASON R JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
204 COOK RD, LEBANON, OH 45036-9600
(513) 695-1357
(513) 695-2952
Mailing address
107 OREGONIA RD, 2ND FLOOR, LEBANON, OH 45036-3903
(513) 695-2411
(513) 695-2309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C-500765
OH
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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