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1780405779
KEVIN LUCAS LEDFORD
JACKSON, TN
NPI
1780405779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN 1713)
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
MR. KEVIN LUCAS LEDFORD MS, NCC, LADAC II
37 SANDSTONE CIR STE 92
JACKSON, TN 38305-3168
Phone number: 731-265-6025
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Mailing Address
MR. KEVIN LUCAS LEDFORD MS, NCC, LADAC II
821 MERRYWOOD GLN APT 3
MEMPHIS, TN 38117-5065
Phone number: 901-486-1155
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