Provider Demographics
NPI:1699094573
Name:DUNN, JUDY LYNN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:LYNN
Last Name:DUNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4082 FOX FARM LN
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-9781
Mailing Address - Country:US
Mailing Address - Phone:715-369-2215
Mailing Address - Fax:715-369-2214
Practice Address - Street 1:315 S ONEIDA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3422
Practice Address - Country:US
Practice Address - Phone:715-420-1201
Practice Address - Fax:715-420-1202
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
WI7740-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist