License Detail

NameLEDFORD MIKEL ALLEN
AddressGOSHENNY
ProfessionLICENSED MASTER SOCIAL WORK
License No026575
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron12/31/81)
Additional Qualification
StatusINACTIVE
Registered through last day of

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