Individual
JUDITH A YOCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1478 KENWOOD CTR, SUITE 1, MENASHA, WI 54952-1161
(920) 886-9319
(920) 886-9357
Mailing address
1478 KENWOOD CTR, SUITE 1, MENASHA, WI 54952-1161
(920) 886-9319
(920) 886-9357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3362-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39716900
—
WI
Enumeration date
09/09/2005
Last updated
01/30/2013
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