Individual
MRS. MARYANNE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,RYT,CPI
Contact information
Practice address
173 E MULBERRY DR, MILFORD, PA 18337-7217
(570) 832-1476
Mailing address
173 E MULBERRY DR, MILFORD, PA 18337-7217
(570) 832-1476
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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