Individual
KATHLEEN F FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
711 SAINT MARYS DR, EVANSVILLE, IN 47714-0508
(812) 485-5858
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004996A
IN
Other
Enumeration date
10/30/2008
Last updated
01/07/2019
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