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1922458009
JUDY VITTUM SHOUPE
ALBANY, GA
NPI
1922458009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW005696)
Enumeration Date
2016-06-20
Last Update Date
2019-07-30
Business Address
JUDY VITTUM SHOUPE LCSW
2403 OSLER CT STE B
ALBANY, GA 31707-0205
Phone number: 229-639-3135
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Mailing Address
JUDY VITTUM SHOUPE LCSW
204 N WESTOVER BLVD
ALBANY, GA 31707-2983
Phone number: 229-888-6559
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