Individual
ARCHIE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 E TACOMA ST, BROKEN ARROW, OK 74012-8100
(918) 852-9732
Mailing address
816 E TACOMA ST, BROKEN ARROW, OK 74012-8100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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