Individual
SAMIE LEDYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC, MA
Contact information
Practice address
57418 COUNTY ROAD 681, HARTFORD, MI 49057-9421
(269) 621-3143
(269) 621-2725
Mailing address
5128 104TH AVE, GRAND JUNCTION, MI 49056-9133
(269) 434-6379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401008424
MI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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