Individual
HOLLY GRIER LUDWIGSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4856 BANNING AVE, WHITE BEAR LAKE, MN 55110-2870
(651) 251-3616
(651) 762-5670
Mailing address
441 PARK AVE, MAHTOMEDI, MN 55115-1661
(651) 251-3616
(651) 762-5670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7764
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9864636
—
MN
Enumeration date
09/12/2005
Last updated
07/09/2007
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