Individual
JAMIE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
480 PIERCE ST, KINGSTON, PA 18704-5512
(484) 202-0648
Mailing address
17 SNOWDEN ST, FORTY FORT, PA 18704-5009
(570) 709-1015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131535
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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