Individual
LAUREL LUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
11 UNION ST, LEBANON, NH 03766-1714
(603) 448-2006
Mailing address
11 UNION ST, LEBANON, NH 03766-1714
(603) 448-2006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089-0000118
VT
1041C0700X
Clinical Social Worker
Primary
290
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140069440NH01
ANTHEM BLUE CROSS BLUE SH
NH
Enumeration date
08/13/2006
Last updated
07/08/2007
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