Individual
EDMOND FORDHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1711 NW 18TH AVE, OCALA, FL 34475-4935
(352) 208-2986
Mailing address
1711 NW 18TH AVE, OCALA, FL 34475-4935
(352) 208-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW16248
FL
Other
Enumeration date
09/09/2021
Last updated
07/03/2022
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