Individual
REBECCA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10049 E DYNAMITE BLVD STE 130, SCOTTSDALE, AZ 85262-3695
(480) 419-0848
Mailing address
11791 N MANDARIN LN, ORO VALLEY, AZ 85737-9425
(520) 440-2621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10503
AZ
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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