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JUDY VITTUM SHOUPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2403 OSLER CT STE B, ALBANY, GA 31707-0205
(229) 639-3135
(229) 639-3141
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005696
GA

Other

Enumeration date
06/20/2016
Last updated
07/30/2019
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