Individual
SARAH MICHELLE LUDOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
207 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-7654
Mailing address
211 16TH AVE N, PO BOX 9, NAMPA, ID 83687-4058
(208) 461-7149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-33046
ID
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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