Individual
JOANNA LEDVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15649-132
WI
1041C0700X
Clinical Social Worker
Primary
8033-123
WI
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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