Individual
GORDAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 CENTRAL AVE, GRAMBLING, LA 71245-3001
(318) 247-6153
(318) 274-3215
Mailing address
407 CENTRAL AVE, GRAMBLING, LA 71245-3001
(318) 247-6153
(318) 274-3215
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
1041S0200X
School Social Worker
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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