Individual
HEIDI R FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
989 E 900 S, SUITE A-2, SALT LAKE CITY, UT 84105-1473
(801) 953-9188
(801) 662-5755
Mailing address
989 E 900 S, SUITE A-2, SALT LAKE CITY, UT 84105-1473
(801) 953-9188
(801) 662-5755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5234234-3501
UT
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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