Individual
LESANDRA JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 HAWTHORNE LN, PRATTVILLE, AL 36066-7345
(334) 781-0107
Mailing address
1546 HAWTHORNE LN, PRATTVILLE, AL 36066-7345
(334) 781-0107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5743G
AL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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