Individual
MARY ELIZABETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GIBSON RD, LEXINGTON, SC 29072-3429
(803) 814-5559
(803) 878-7600
Mailing address
130 GIBSON RD, LEXINGTON, SC 29072-3429
(803) 814-5559
(803) 878-7600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6921
SC
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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