Individual
JUDY FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
206 HERON BAY CIR, LAKE MARY, FL 32746-3426
(407) 461-1119
Mailing address
206 HERON BAY CIR, LAKE MARY, FL 32746-3426
(407) 461-1119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020845
PERSONAL NUMBER
—
Enumeration date
12/16/2019
Last updated
12/16/2019
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