Sledge, Kedric
Sledge, Kedric is an individual health care provider with primary practice located at 113 Chestnut St , Jonesboro GA 30236-4930. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sledge, Kedric can be contacted via phone (678) 241-9841.Contact Information
Primary practice address
113 Chestnut St
Jonesboro GA 30236-4930
Phone: (678) 241-9841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1558038000 |
|---|---|
| LBN Legal business name | Sledge, Kedric |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Aug 24th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558038000 | NPPES |
| Delaware | Other | Q3-0010435 | LMSW |
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