Individual
MS. JUDITH ANNE WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMT
Contact information
Practice address
5439 DURAND AVE, RACINE, WI 53406-5058
(262) 637-1000
Mailing address
1023 INDIANA ST, RACINE, WI 53405-2234
(262) 308-9515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3634-046
WI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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