Individual
KATHERINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5107 N BLECK RD, MICHIGAN CITY, IN 46360-9147
(219) 229-4095
Mailing address
5107 N BLECK RD, MICHIGAN CITY, IN 46360-9147
(219) 229-4095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.027292
IL
Other
Enumeration date
06/04/2020
Last updated
07/06/2025
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