Individual
JUDITH PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 PALM BEACH LAKES BLVD, SUITE 600, WEST PALM BEACH, FL 33401-2225
(561) 881-2822
Mailing address
1655 PALM BEACH LAKES BLVD, SUITE 600, WEST PALM BEACH, FL 33401-2225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
222Q00000X
Developmental Therapist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
03/22/2017
Last updated
03/22/2017
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