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Individual

JUDITH HOGE MINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 EAST SOUTH ST, STE 5, CHARLOTTESVILLE, VA 22902-5217
(434) 971-4747
(434) 293-4690
Mailing address
100 EAST SOUTH ST, STE 5, CHARLOTTESVILLE, VA 22902-5217
(434) 971-4747
(434) 293-4690

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904001192
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
249190
ANTHEM INS
VA
Enumeration date
04/23/2007
Last updated
07/08/2007
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