Individual
SHIRLEY MOORE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, MAC
Contact information
Practice address
185 INDUSTRIAL PKWY, GREENVILLE, AL 36037-2421
(334) 382-2108
(334) 382-6353
Mailing address
108 FLEETWOOD RD, PRATTVILLE, AL 36067-4028
(205) 275-8251
(334) 382-6353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3266
AL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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