Individual
MICHAEL LLOYD LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-33464
Contact information
Practice address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-6260
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33464
ID
Other
Enumeration date
04/05/2011
Last updated
01/24/2024
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