JUDITH BURBANK FRADIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012836

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

BURBANK

Last Name

FRADIN

Business Name

JUDITH BURBANK FRADIN

Original Issue Date

12/18/2007

Effective Date

10/20/2015

Expiration Date

11/30/2017

City

NEW YORK

State

Zip

10028

County

NEW YORK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018