Individual
DANIELLE LEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST FL 5, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
5275 LANCASTER ST, NORTH CHARLESTON, SC 29405-4158
(843) 530-3615
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
239917
SC
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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