Individual
AILLEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-3368
(334) 953-8607
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-3368
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016270
IL
Other
Enumeration date
03/07/2019
Last updated
09/17/2019
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