Individual
AUDREY J FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 282-8270
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5232-57
WI
Other
Enumeration date
07/29/2024
Last updated
12/18/2024
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