Individual
MRS. KELLY T FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 LINSLEY ST, NORTH HAVEN, CT 06473-2518
(203) 239-5321
Mailing address
5 LINSLEY ST, NORTH HAVEN, CT 06473-2518
(203) 239-5321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006514
CT
Other
Enumeration date
08/07/2013
Last updated
08/08/2013
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