Individual
MRS. SHAWANDA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5600 W BROWN DEER RD STE 106, BROWN DEER, WI 53223-2346
(414) 446-8154
Mailing address
5600 W BROWN DEER RD STE 106, MILWAUKEE, WI 53223-2346
(414) 446-8154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/03/2018
Last updated
12/26/2019
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