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Individual

MRS. JUDY A LYDECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW LADC

Contact information

Practice address
92 HIGH ST, WINSTED, CT 06098-1527
(860) 485-2559
(860) 379-7421
Mailing address
144 HOLABIRD AVE, WINSTED, CT 06098-1727
(860) 485-2559
(860) 379-7421

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LADC000619
CT
1041C0700X
Clinical Social Worker
Primary
LCSW005857
CT

Other

Enumeration date
09/15/2006
Last updated
04/11/2012
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