Individual
KAREN SUE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13714 NASHUA TER, MIDLOTHIAN, VA 23112-7619
(804) 683-8470
Mailing address
13714 NASHUA TER, MIDLOTHIAN, VA 23112-7619
(804) 683-8470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002163
VA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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