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Individual

MRS. KRISTINE MARIE LUDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
360 ROSEBUD ST APT 308, WALLED LAKE, MI 48390-3403
(248) 704-9922
Mailing address
360 ROSEBUD ST APT 308, WALLED LAKE, MI 48390-3403
(248) 704-9922

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172A00000X
Driver
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
251K00000X
Public Health or Welfare Agency
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
374U00000X
Home Health Aide

Other

Enumeration date
09/16/2021
Last updated
11/24/2024
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