Individual
STUART MICHAEL LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.S.W
Contact information
Practice address
8781 S REDWOOD RD BLDG 3, WEST JORDAN, UT 84088-9204
(385) 468-4617
Mailing address
850 E WESTMINSTER AVE, SALT LAKE CITY, UT 84105-3218
(801) 518-2052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
289130-3503
UT
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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