Individual
CHERLYN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3106 DIXIE HWY, LOUISVILLE, KY 40216-6029
(502) 387-0430
Mailing address
1314 RHONDA WAY, LOUISVILLE, KY 40216-3941
(502) 387-0430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
03/17/2018
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