Individual
JUDY KAO CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
(714) 780-0757
Mailing address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
(714) 780-0757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069506-01
LICENSE NUMBER
—
01
—
22121
CA- BBS
CA
Enumeration date
07/10/2007
Last updated
07/09/2009
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