Individual
CAROLYN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 JOHN R RD, TROY, MI 48083-2512
(313) 828-1590
Mailing address
1709 JOHN R RD, TROY, MI 48083-2512
(313) 828-1590
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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