Individual
DIANE ALICE BAZIN JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
160 BRAINERD ST, SOUTH HADLEY, MA 01075-1306
(413) 534-7772
Mailing address
160 BRAINERD ST, SOUTH HADLEY, MA 01075-1926
(413) 534-7772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
005168
CT
1041C0700X
Clinical Social Worker
Primary
111131
MA
Other
Enumeration date
02/22/2007
Last updated
08/14/2009
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