Diane Alice Bazin Judd, LICSW

NPI #1952436024 in South Hadley, Massachusetts

Provider Information

NPI Number: 1952436024
Entity Type: Individual
Name: Diane Alice Bazin Judd, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Feb 22, 2007
Last Updated: Aug 14, 2009

Practice Location

Address: 160 BRAINERD ST
City: South Hadley
State: Massachusetts
ZIP Code: 01075-1306
Phone: (413) 534-7772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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