Individual
ITSUKO JAMIE UDAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(240) 586-8807
Mailing address
328 GRAND ST, GAITHERSBURG, MD 20878-4053
(917) 593-1161
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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