Provider Information for 1972124667
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JUDITH PFAFF LPC
Sex: Female
NPI: 1972124667
Last Updated: 2020-05-04
Certification Date: 2020-05-04
Certification Date: 2020-05-04
Details
| Name | Value | ||||||||||||||||||||||||||||
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| NPI | 1972124667 | ||||||||||||||||||||||||||||
| Enumeration Date | 2020-05-04 | ||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Mailing Address | 4262 STONE MEADOW CT COMMERCE TOWNSHIP, MI 48382-1384 United States Phone: 586-530-6435 | Fax: | ||||||||||||||||||||||||||||
| Primary Practice Address | 4262 STONE MEADOW CT COMMERCE TOWNSHIP, MI 48382-1384 United States Phone: 586-530-6435 | Fax: | ||||||||||||||||||||||||||||
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