Mader, Judith M

Mader, Judith M is an sole proprietor health care provider with primary practice located at 206 E Morris Ave , Hammond LA 70403-4247. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mader, Judith M can be contacted via phone (985) 429-8040.

Contact Information

Primary practice address
206 E Morris Ave Hammond LA 70403-4247
Phone: (985) 429-8040
Fax: (985) 542-6990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7116 Louisiana

Profile Details

NPI number 1598829533
LBN Legal business name Mader, Judith M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598829533 NPPES
Tennessee Other IP792 STATE LICENSE - RETIRED
Tennessee Other 7116 STATE LICENSE - RETIRED

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