Individual
MR. JEFFREY GEORGE LUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
55 W MAIN ST STE 410, WATERBURY, CT 06702-5524
(203) 805-6400
(203) 805-6432
Mailing address
24 NANCY MAE AVE, PROSPECT, CT 06712-1719
(203) 527-9648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005886
CT
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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