Individual
CARLA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2085 RUSTIN AVE BLDG 3, RIVERSIDE, CA 92507-2498
(800) 499-3008
Mailing address
12241 ALBATROSS ST, VICTORVILLE, CA 92392-0572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW129622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215456421
—
NV
Enumeration date
09/19/2017
Last updated
06/04/2025
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