Individual
MRS. JUDITH A POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
551 W JOHNSON ST, FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Mailing address
551 W JOHNSON ST, FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2932
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39675100
—
WI
Enumeration date
11/27/2006
Last updated
07/08/2007
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