Individual
MS. JUDITH EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Contact information
Practice address
2120 FORDEM AVE, MADISON, WI 53704-4696
(608) 729-1114
Mailing address
2120 FORDEM AVE, MADISON, WI 53704-4696
(608) 729-1114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2161-125
WI
1041C0700X
Clinical Social Worker
Primary
3857-123
WI
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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