| Doctor Name: | MRS. MARCIA BEARD JAUDON |
| NPI Number: | 1154305381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904004886 |
| Business Practice Address: | 200 Country Club Dr Sw Suite D-2 Blacksburg, VA - 240605400 |
| Business Phone Number: | 5407728043 |
| Business Fax Number: | 5407728242 |
| Mailing Address: | 4346 Starkey Rd, Suite 1 ROANOKE |
| State: | VA |
| Postal Code: | 240180605 |
| Phone Number: | 5407728043 |
| Fax Number: | 5407728242 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904004886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |