Individual
MRS. JUDITH LYNN PESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
386 HIGHWAY 91, ELIZABETHTON, TN 37643-6060
(423) 946-5576
(423) 542-3240
Mailing address
1801 COLONIAL RIDGE RD, JOHNSON CITY, TN 37604-7626
(423) 926-3075
(423) 542-3240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6082769
TN
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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