Individual
MRS. IRMA RUTH LEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3300 36TH ST SE, KENTWOOD, MI 49512-2810
(616) 942-2110
(616) 942-0589
Mailing address
3800 MILAN AVE SW, WYOMING, MI 49509-3938
(616) 531-8337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801057870
MI
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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