Individual
MRS. JUDY MARTIN TREXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 W JANE ST, VALDOSTA, GA 31601-3950
(229) 671-1461
(229) 671-1471
Mailing address
PO BOX 6011, VALDOSTA, GA 31603-6011
(229) 671-1461
(229) 671-1471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109170C
—
GA
Enumeration date
08/14/2007
Last updated
01/22/2020
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