Provider Demographics
NPI:1962993733
Name:ANDREWS, JUDITH ANN (MSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:ANN
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:3300 MEYER PL
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2303
Mailing Address - Country:US
Mailing Address - Phone:734-391-7213
Mailing Address - Fax:
Practice Address - Street 1:3300 MEYER PL
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2303
Practice Address - Country:US
Practice Address - Phone:734-391-7213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-28
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010462801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical