Individual
MRS. ALYSSA CRYSTAL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
400 N WASHINGTON ST STE 130E, FARMINGTON, MO 63640-1746
(573) 330-5323
Mailing address
400 N WASHINGTON ST STE E, FARMINGTON, MO 63640-1716
(573) 330-5323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
2025045210
MO
Other
Enumeration date
08/06/2018
Last updated
05/08/2026
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