Individual
MR. STEPHEN LUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, LADC
Contact information
Practice address
44 FRONT ST, SUITE 490, WORCESTER, MA 01608-1733
(508) 799-0702
Mailing address
122 AMHERST ST, WORCESTER, MA 01602-2037
(508) 751-6748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1138 AD
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
34
MA
Other
Enumeration date
10/05/2010
Last updated
10/20/2010
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