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Individual

CECILY P JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
322 MAIN ST, BAR HARBOR, ME 04609-1648
(207) 288-8604
(207) 288-8602
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-8600

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8015
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
408280099
ME
Enumeration date
02/12/2009
Last updated
04/28/2009
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