MS. JUDITH DERRISO, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1437148426
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 426 (GA) |
Frequently Asked Questions
NPI 1437148426 is the National Provider Identifier for MS. JUDITH DERRISO, LCSW, a Social Worker - Clinical provider located in Macon, GA. This NPI was enumerated on October 21, 2005.
MS. JUDITH DERRISO, LCSW practices at 308 COLISEUM DR, SUITE 120, Macon, GA 31217.
Quick Facts
- NPI
- 1437148426
- Type
- Individual
- Enumerated
- Oct 21, 2005
- Last Updated
- Feb 11, 2010
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