Individual
JUDITH A UTEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 RAY-O-VAC DR, SUITE 220, MADISON, WI 53711-2476
(608) 276-9191
(608) 276-9144
Mailing address
2030 HELENA ST, MADISON, WI 53704-5520
(608) 630-7105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40929200
—
WI
Enumeration date
07/11/2006
Last updated
07/19/2016
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