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Individual

MR. DERRICK J FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1175 N GUIGNARD DR, SUMTER, SC 29150-1519
(803) 775-7898
(803) 773-5246
Mailing address
107 CAROLINA AVE, SUMTER, SC 29150-3411
(803) 436-5804

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/22/2007
Last updated
10/22/2007
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