Individual
MRS. SHELLY LYNNE LEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
286879-3503
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
WA
Enumeration date
12/12/2007
Last updated
12/12/2007
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