Individual
TANJA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
895 ROBERTA LANE, SUITE 101, SPARKS, NV 89431-6802
(775) 331-6252
(775) 331-6250
Mailing address
895 ROBERTA LANE, SUITE 101, SPARKS, NV 89431-6802
(775) 331-6252
(775) 331-6250
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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