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Individual

KRISTINE LEDFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
916 W 10TH ST, SUITE 101, MEDFORD, OR 97501-3018
(541) 774-8200
Mailing address
4627 HATHAWAY DR, MEDFORD, OR 97504-9680
(541) 690-8710

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMF76309
CA
106H00000X
Marriage & Family Therapist
Primary
T1043
OR

Other

Enumeration date
12/03/2013
Last updated
06/15/2015
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