JUDITH LOUDON DERRISO

MACON, GA
NPI1437148426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  426)
Enumeration Date2005-10-21
Last Update Date2010-02-11
Business Address
Ms. JUDITH LOUDON DERRISO LCSW
308 COLISEUM DR SUITE 120
MACON, GA 31217-3865
Phone number: 478-745-6130
Mailing Address
Ms. JUDITH LOUDON DERRISO LCSW
1835 SAVOY DR SUITE 300
ATLANTA, GA 30341-1072
Phone number: 770-495-3396
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