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1316940182
JUDITH G TUDIVER
JOHNSON CITY, TN
NPI
1316940182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: TN P0000002479)
Enumeration Date
2005-05-24
Last Update Date
2007-07-09
Business Address
Dr. JUDITH G TUDIVER PH.D.
415 E UNAKA AVE
JOHNSON CITY, TN 37601-4030
Phone number: 423-341-4752
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Mailing Address
Dr. JUDITH G TUDIVER PH.D.
3337 BONDWOOD CIR
JOHNSON CITY, TN 37604-8904
Phone number: 423-341-4752
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