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Individual

MRS. JUDY ANN TIPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, CSAC, ICS

Contact information

Practice address
1717 TAYLOR AVE, RACINE, WI 53403
(262) 638-6744
(262) 638-6540
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
(262) 638-6540

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15143-132
WI
1041C0700X
Clinical Social Worker
Primary
8227-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39176100
WI
Enumeration date
05/10/2007
Last updated
11/20/2024
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