Organization Name: | JUDY BARRAGAN |
NPI Number: | 1003260639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY BARRAGAN (THERAPIST) |
Mailing Address: | 1438 Liberty Rd Sykesville |
State: | MD US |
Postal Code: | 217846493 |
Phone Number: | 4436094302 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2016 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 13685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |