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Individual

JUDITH SHIPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SW

Contact information

Practice address
1401 CENTERVILLE RD STE 504, TALLAHASSEE, FL 32308-4640
(850) 431-5001
(850) 431-6101
Mailing address
1401 CENTERVILLE RD STE 504, TALLAHASSEE, FL 32308-4640
(850) 431-5001
(850) 431-6101

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW5608
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z041G
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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