Individual
NANCY S JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
7026 41ST AVE SE, OLYMPIA, WA 98503-4402
(360) 456-8281
Mailing address
PO BOX 356, OLYMPIA, WA 98507-0356
(360) 456-8281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004393
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149JU
REGENCE BLUE SHIELD
WA
Enumeration date
04/03/2007
Last updated
07/08/2007
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