Individual
MS. JUDY VITA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22 CENTURY BLVD STE 220, NASHVILLE, TN 37214-3787
(844) 295-4273
(855) 611-1917
Mailing address
2221 WILLOW OAK CIR APT 212, VIRGINIA BEACH, VA 23451-6823
(757) 589-7738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903002319
VA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/15/2014
Last updated
04/20/2022
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