Individual
LEAH LEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W MAIN ST, HENRYETTA, OK 74437-4240
(580) 574-7559
Mailing address
PO BOX 51, ELGIN, OK 73538-0051
(580) 574-7559
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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