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Individual

MRS. KIMBERLY A. FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2712 LAWRENCEVILLE HWY, DECATUR, GA 30033-2512
(770) 496-5555
(770) 939-2887
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 495-3396
(770) 495-2307

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004210
GA

Other

Enumeration date
02/11/2010
Last updated
02/11/2010
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