Individual
MS. PONYA J. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
(803) 773-6615
Mailing address
310 ROSS RD APT 10K, COLUMBIA, SC 29223-4916
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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