TABITHA JOY LEDBETTER — Medicare Enrolled Provider (PRACTITIONER - CLINICAL SOCIAL WORKER, IL)
TABITHA JOY LEDBETTER — Medicare Enrolled Provider (PRACTITIONER - CLINICAL SOCIAL WORKER, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TABITHA JOY LEDBETTER; Type: Individual; NPI: 1003102401.
| Name | TABITHA JOY LEDBETTER |
|---|---|
| Type | Individual |
| NPI | 1003102401 |
| Provider type | PRACTITIONER - CLINICAL SOCIAL WORKER |
| State | IL |
| Enrollment ID | I20161215001240 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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