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Individual

LAKIA SHARDAE FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E ELM ST, WINNSBORO, TX 75494-2510
(903) 624-4506
Mailing address
100 E ELM ST, WINNSBORO, TX 75494-2510

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211519
TX

Other

Enumeration date
05/17/2021
Last updated
05/17/2021
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