Individual
MIKA R LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
107030
TX
104100000X
Social Worker
Primary
107030
TX
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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