Individual
MRS. EMILY KRYSTAL JUDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11436 STILLBROOK RD, NORTH CHESTERFIELD, VA 23236-2410
(804) 617-4396
Mailing address
11436 STILLBROOK RD, NORTH CHESTERFIELD, VA 23236-2410
(804) 617-4396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015253
VA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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