Individual
DEBBRA ANN FORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
(952) 927-8528
(612) 929-2327
Mailing address
5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
(952) 927-8528
(612) 929-2327
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP 2846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19Q19FO
BC/BS INDIVIDUAL PROVIDER
MN
Enumeration date
03/20/2006
Last updated
07/08/2007
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