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Individual

MS. KELDRIN FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1555 BUTTERNUT CV, STONE MOUNTAIN, GA 30083-5238
(253) 820-4275
Mailing address
1555 BUTTERNUT CV, STONE MOUNTAIN, GA 30083-5238
(253) 820-4275

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007398
GA

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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