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Individual

HEATHER MARIE FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7303 W ROBIN LN, GLENDALE, AZ 85310-5653
(720) 383-1258
Mailing address
7303 W ROBIN LN, GLENDALE, AZ 85310-5653

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-16804
AZ

Other

Enumeration date
03/25/2019
Last updated
03/25/2019
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