Doctor Name: | HOLLIE LEDFORD |
NPI Number: | 1215307673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 5187-P |
Business Practice Address: | 100 W 7th St Okmulgee, OK - 744475050 |
Business Phone Number: | 9187581930 |
Business Fax Number: | |
Mailing Address: | 100 W 7th St, OKMULGEE |
State: | OK |
Postal Code: | 744475050 |
Phone Number: | 9187581930 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2015 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5187-P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |