Individual
GEORGE FORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2633 N SARTAIN ST, PHILADELPHIA, PA 19133-1411
(267) 528-7569
Mailing address
2633 N SARTAIN ST, PHILADELPHIA, PA 19133-1411
(267) 528-7569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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