Individual
MRS. ELISE JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5214
Mailing address
12301 MAIN ST, HOUSTON, TX 77035-6207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
41403
TX
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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