Individual
JACQUELINE S LEDFERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 HAPPY LANDING DR, SPRINGFIELD, IL 62711-6259
(888) 428-7890
Mailing address
1630 GOVERNOR ST, SPRINGFIELD, IL 62704-1541
(217) 416-6412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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