Individual
MRS. LILLIE CARTER-FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 945-3511
(904) 493-4468
Mailing address
988 ASHTON COVE TER, JACKSONVILLE, FL 32218-6126
(904) 612-4791
(904) 641-6529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/10/2019
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