Individual
KELLY RAE LUDWIGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
Mailing address
2629 BARDOLINO DR, FAYETTEVILLE, NC 28306-4638
(325) 340-3292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102429
TX
Other
Enumeration date
12/09/2011
Last updated
07/30/2012
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