Individual
DR. BRYAN KEITH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.S.W.
Contact information
Practice address
700 19TH ST S, GRECC (11-G), BIRMINGHAM, AL 35233-1927
(205) 202-0332
(205) 558-4749
Mailing address
PO BOX 190276, BIRMINGHAM, AL 35219-0276
(205) 202-0332
(205) 558-4749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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