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Individual

COLLEEN GORMAN JUDGE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
33 COLLEGE HILL RD, SUITE 30E, WARWICK, RI 02886-2776
(401) 821-6070
(401) 821-6047
Mailing address
46 BARNES ST, GREENVILLE, RI 02828-2025
(401) 949-9868

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00127
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2083869
CIGNA
01
30240-5
BC/BS OF RI
01
409065
BLUECHIP
Enumeration date
05/18/2006
Last updated
07/08/2007
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