Individual
DESTINIE SHYANNE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5123 NORWICH ST STE 110, HILLIARD, OH 43026-1486
(614) 980-4736
Mailing address
5123 NORWICH ST STE 110, HILLIARD, OH 43026-1486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2405823
OH
1041C0700X
Clinical Social Worker
S.2005268
OH
Other
Enumeration date
04/18/2022
Last updated
09/18/2024
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