Brandon Michael Ludolph

NPI #1023681277 in Metamora, Illinois

Provider Information

NPI Number: 1023681277
Entity Type: Individual
Name: Brandon Michael Ludolph
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 23, 2021
Last Updated: Jul 23, 2021

Practice Location

Address: 1431 LOURDES RD
City: Metamora
State: Illinois
ZIP Code: 61548-7609
Phone: (309) 383-4323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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