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Individual

KATHLEEN JUDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LSW, LPCC

Contact information

Practice address
121 N BARRON ST, EATON, OH 45320-1780
(937) 974-4951
(937) 294-0493
Mailing address
230 ACORN DR, DAYTON, OH 45419-3901
(937) 974-4951
(927) 294-0493

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0002176
OH

Other

Enumeration date
01/14/2007
Last updated
07/08/2007
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