| Doctor Name: | JUDITH A STROM |
| NPI Number: | 1144244427 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 089-0001101 |
| Business Practice Address: | 441 W River Rd Suite # 3 South Brattleboro, VT - 053019006 |
| Business Phone Number: | 8022757087 |
| Business Fax Number: | |
| Mailing Address: | Po Box 14, WILLIAMSVILLE |
| State: | VT |
| Postal Code: | 053620014 |
| Phone Number: | 8022577355 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 089-0001101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |