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Individual

KALILAH D LEDBETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2959 S MANDY CIR, MESA, AZ 85212-1599
(910) 364-8865
Mailing address
2959 S MANDY CIR, MESA, AZ 85212-1599
(910) 364-8865

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-18901
AZ

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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