Individual
DERIC D FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
321 COMMERCE WAY, CLOVIS, NM 88101-4750
(575) 935-6262
Mailing address
321 COMMERCE WAY, CLOVIS, NM 88101-4750
(575) 935-6262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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