Individual
SYVERIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
142 NEW ST, GAFFNEY, SC 29340-4221
(864) 812-2072
Mailing address
142 NEW ST, GAFFNEY, SC 29340-4221
(864) 812-2072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10626
NC
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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