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Individual

MS. KELLYE DAIR LEDBETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
328 THOMAS MORE PARKWAY UNIT 102, CRESTVIEW HILLS, KY 41017
(859) 431-6333
(859) 341-0310
Mailing address
328 THOMAS MORE PARKWAY UNIT 102, CRESTVIEW HILLS, KY 41017
(859) 431-6333
(859) 341-0310

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1874
KY
1041C0700X
Clinical Social Worker
1874LCSW
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82001306
KY
Enumeration date
10/02/2006
Last updated
07/07/2011
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