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Individual

MRS. JUDITH MARIE SIPES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW C

Contact information

Practice address
1110 BENFIELD BLVD, STE H J, MILLERSVILLE, MD 21108-2540
(410) 987-8531
(410) 987-4710
Mailing address
1110 BENFIELD BLVD, STE H J, MILLERSVILLE, MD 21108-2540
(410) 987-8531
(410) 987-4710

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3153
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q287
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/09/2006
Last updated
07/08/2007
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