Individual
REGINA CAROL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
2 HIDDEN CV, CROSS LANES, WV 25313-1172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0338
WV
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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