Individual
AMANDA LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17325 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 847-5145
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401222730
MI
103T00000X
Psychologist
—
—
Other
Enumeration date
10/14/2019
Last updated
01/02/2024
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