Individual
JANICE WILES JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 PFOUTS ST, WILKES BARRE, PA 18706
(570) 829-0795
(570) 829-2294
Mailing address
5 PFOUTS ST, WILKES BARRE, PA 18706
(570) 829-0795
(570) 829-2294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013531
PA
Other
Enumeration date
12/27/2017
Last updated
06/16/2018
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