Individual
MS. JUDITH FRANCES PREBLUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
1236 BROADWAY, SOMERVILLE, MA 02144
(781) 643-2313
Mailing address
1236 BROADWAY, SOMERVILLE, MA 02144
(781) 643-2313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM0581
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/26/2007
Last updated
07/08/2007
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