Individual
MS. JUDITH M MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
206 E MORRIS AVE, HAMMOND, LA 70403-4247
(985) 429-8040
(985) 542-6990
Mailing address
206 E MORRIS AVE, HAMMOND, LA 70403-4247
(985) 429-8040
(985) 542-6990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7116
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7116
STATE LICENSE
LA
01
—
IP792
STATE LICENSE - RETIRED
TN
Enumeration date
12/21/2006
Last updated
07/08/2007
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