Individual
LUCINDA C THIMM-JURADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
402 GAMMON PL, SUITE 290, MADISON, WI 53719-1045
(608) 833-9770
(608) 833-1197
Mailing address
402 GAMMON PL, SUITE 290, MADISON, WI 53719-1045
(608) 833-9770
(608) 833-1197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW2414123
WI
1041C0700X
Clinical Social Worker
Primary
LCSW2414123
WI
106H00000X
Marriage & Family Therapist
LCSW2414123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39646600
—
WI
Enumeration date
03/14/2006
Last updated
08/10/2017
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