Judy A Exl is a Clinical in Green Bay, Wisconsin. Judy A Exl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy A Exl is 1861592792. The last update date is 2009-09-22.
Judy A Exl's current location address is 3150 Gershwin Drive, Green Bay, Wisconsin. You can contact this provider via phone number 9203916940 and fax number 9203914811. The mailing address for Judy A Exl is 3150 Gershwin Drive, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy A Exl |
|---|---|
| Address | 3150 Gershwin Drive, Green Bay, Wisconsin |
| Phone Number | 9203916940 |
| Fax Number | 9203914811 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1861592792 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2009-09-22 |
Provider Mailing Address Detail
| Address | 3150 Gershwin Drive |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543115859 |
| Phone Number | 9203916940 |
| Fax Number | 9203914811 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3698 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39696900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Judy A Exl by the Centers for Medicare & Medicaid Services?
The Judy A Exl has been issued the NPI (National Provider Identifier) 1861592792, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judy A Exl is physically located?
The Judy A Exl is situated at the following address: 3150 Gershwin Drive, Green Bay, WI 543115859.
What is the Judy A Exl's specialty and taxonomy code?
The Judy A Exl's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861592792 to Judy A Exl?
The Centers for Medicare & Medicaid Services assigned the 1861592792 to Judy A Exl on 2006-09-22.
When was the Judy A Exl's information last updated?
The Judy A Exl's information was last updated on 2009-09-22.
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