Individual
DEJAH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S MAIN ST STE 300A, MIDDLETOWN, CT 06457-3764
(860) 712-6791
Mailing address
12 BALABAN RD APT 507, COLCHESTER, CT 06415-1793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14204
CT
Other
Enumeration date
01/07/2020
Last updated
09/03/2025
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