Individual
DAVID LEE FORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 W ONONDAGA ST, SYRACUSE, NY 13202-1888
(315) 478-2030
Mailing address
524 TUSCARORA RD, CHITTENANGO, NY 13037-9731
(518) 368-5733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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