| NPI | 1487283883 |
|---|---|
| Other Name | MATT LADWIG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 288482) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-10-28 |