Individual
ANGEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651
(208) 466-2232
Mailing address
2502 WILDFLOWER DR, NAMPA, ID 83686-7125
(541) 690-7221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-37940
ID
1041C0700X
Clinical Social Worker
LMSW-34847
ID
Other
Enumeration date
06/01/2015
Last updated
08/15/2018
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