Individual
KEDRIC SLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
113 CHESTNUT ST, JONESBORO, GA 30236-4930
(678) 241-9841
Mailing address
113 CHESTNUT ST, JONESBORO, GA 30236-4930
(678) 241-9841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q3-0010435
LMSW
DE
Enumeration date
08/24/2021
Last updated
08/24/2021
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