Individual
WYATT HARDIN LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 EXECUTIVE PARK # 103, LOUISVILLE, KY 40207-4201
(859) 214-7440
Mailing address
100 EXECUTIVE PARK # 103, LOUISVILLE, KY 40207-4201
(859) 214-7440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253415
KY
1041C0700X
Clinical Social Worker
Primary
256927
KY
1041C0700X
Clinical Social Worker
34010001A
IN
Other
Enumeration date
10/10/2021
Last updated
01/16/2023
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