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Individual

KARLY MARIE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3428 PENNSYLVANIA AVE, WEIRTON, WV 26062-3923
(304) 748-8370
Mailing address
103 SENECA ST, WEIRTON, WV 26062-2628

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1343
OH
235Z00000X
Speech-Language Pathologist
Primary
2170
WV
235Z00000X
Speech-Language Pathologist
SL015697
PA

Other

Enumeration date
02/14/2021
Last updated
11/19/2024
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