Individual
ASHLEY TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 MELODY LN, ROSEVILLE, CA 95678-5167
(916) 287-7232
Mailing address
PO BOX 91, ROSEVILLE, CA 95678-0091
(916) 287-7232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114717
CA
Other
Enumeration date
01/19/2024
Last updated
01/16/2025
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