Individual
JUDITH M ILLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1021 PARK AVE, SUITE 10, QUAKERTOWN, PA 18951-1573
(215) 529-9240
(215) 529-9284
Mailing address
1021 PARK AVE, SUITE 10, QUAKERTOWN, PA 18951-1573
(215) 529-9240
(215) 529-9284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW009624L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1732364
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/25/2006
Last updated
05/27/2009
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