Individual
ROBERT LYNN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMFT, LMFT
Contact information
Practice address
84 GROCE RD, LYMAN, SC 29365-1761
(864) 439-7034
Mailing address
122 KNOX DR, UNION, SC 29379-8926
(864) 674-5591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4527
SC
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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