Individual
STEPHANIE ANNETTE LEDEZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
510 JACKSON AVE APT 4R, BRONX, NY 10455-4346
(817) 629-1539
Mailing address
510 JACKSON AVE APT 4R, BRONX, NY 10455-4346
(817) 629-1539
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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