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MRS. PATRICIA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
62 TRAVERTINE DR, PIKE ROAD, AL 36064-2990
(334) 538-0528
Mailing address
62 TRAVERTINE DR, PIKE ROAD, AL 36064-2990
(334) 538-0528

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2728G
AL
1041C0700X
Clinical Social Worker
Primary
3728C
AL

Other

Enumeration date
09/17/2012
Last updated
07/04/2022
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