Individual
ANGELA B FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2239 S CARAWAY RD STE M, JONESBORO, AR 72401-6234
(870) 910-3757
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1480-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W365
BLUECROSS BLUESHIELD
AR
Enumeration date
08/02/2006
Last updated
06/17/2019
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