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Individual

MS. JUDITH CLEARY CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
18697 FOREST RD, THE MADELINE CENTER, LYNCHBURG, VA 24502-4363
(434) 239-0003
(434) 239-0181
Mailing address
960 ROTHOWOOD RD, LYNCHBURG, VA 24503-1114
(434) 239-0003
(434) 239-0181

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001192
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5414784
VA
Enumeration date
07/31/2006
Last updated
07/09/2007
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