Individual
SUSANNAH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
131 OCEAN ST, SOUTH PORTLAND, ME 04106-3649
(207) 799-1873
Mailing address
142 OCEAN HOUSE RD, CAPE ELIZABETH, ME 04107-1123
(207) 347-9357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5708
ME
Other
Enumeration date
03/30/2008
Last updated
04/25/2011
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