Individual
JUDY M MINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
966 W MAIN ST, BROOKSFIELD SQ STE 7, ABINGDON, VA 24210-2483
(276) 623-8230
(276) 525-1813
Mailing address
966 W MAIN ST, BROOKSFIELD SQ STE 7, ABINGDON, VA 24210-2483
(276) 623-8230
(276) 525-1813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001864
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324288
BCBS
VA
05
—
8906831
—
VA
Enumeration date
05/30/2005
Last updated
02/11/2013
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