Individual
JUDITH JOHNSON-SHUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17644 COASTAL HWY STE 1, LEWES, DE 19958-6257
(302) 416-2116
Mailing address
29 CEDARWOOD DR, LEWES, DE 19958-9583
(302) 265-8245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904014008
VA
1041C0700X
Clinical Social Worker
Primary
Q10001668
DE
Other
Enumeration date
03/20/2020
Last updated
07/12/2022
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