Individual
MADONNA RAE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
9409 N HAGGERTY RD, PLYMOUTH, MI 48170-4696
(734) 559-3540
Mailing address
239 HUTTON ST APT 4, NORTHVILLE, MI 48167-1246
(313) 820-0626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451019574
MI
101YM0800X
Mental Health Counselor
6451019574
MI
Other
Enumeration date
03/15/2022
Last updated
07/18/2023
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