Individual
LANNY WAYNE LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
743 MAIN ST SW, GAINESVILLE, GA 30501-4484
(678) 943-2749
(678) 943-2746
Mailing address
303 GREEN ST NW, GAINESVILLE, GA 30501-3327
(678) 343-1451
(678) 943-2746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CSW004082
GA
Other
Enumeration date
08/03/2010
Last updated
04/13/2020
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