Individual
GERALD ANTOINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30800 CHAGRIN BLVD, CLEVELAND, OH 44124-5925
(440) 354-9924
Mailing address
26433 SOLON RD # B016, OAKWOOD VILLAGE, OH 44146-4749
(216) 265-9753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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