Individual
SHERYL R FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACH
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6409
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-31214
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6409
STATE LICENSE
OR
01
—
LCSW-31214
STATE LICENSE
ID
Enumeration date
05/19/2017
Last updated
02/09/2018
Update your record
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