Individual
JUDY BERNACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
Mailing address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
071755
NY
1041C0700X
Clinical Social Worker
Primary
0904006960
VA
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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