Individual
MS. JUDY ANN FREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
244 BURKE ST, PENNINGTON GAP, VA 24277-1366
(423) 361-2516
Mailing address
244 BURKE ST, PENNINGTON GAP, VA 24277-1366
(423) 361-2516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004980
VA
1041C0700X
Clinical Social Worker
LSW0000004291
TN
Other
Enumeration date
03/26/2010
Last updated
07/11/2013
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