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NPI Code Detail

MEDICARE: LEDIN THERAPIES PLLC

MEDICARE: LEDIN THERAPIES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801090407MI

General Provider Information

NPI Number : 1316358948
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEDIN THERAPIES PLLC
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : MASON
State : MI
Zip : 48854-0010
Country : US
Telephone Number : 517-676-9788
Fax Number : 517-676-3438
Provider Business Practice Location Address
First Line : 441 SWARTZ CT
Second Line :
City : IONIA
State : MI
Zip : 48846-2157
Country : US
Telephone Number : 616-523-6537
Fax Number : 616-523-6536
Authorized Official
Title or Position : OWNER
Name : MEGAN ANDREA LEDIN
Credential : LMSW
Telephone Number : 616-755-1999
Provider Enumeration Date : 05/16/2014
Last Update Date : 08/06/2019

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