Individual
ALICE L FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 W CHESAPEAKE AVE, TOWSON, MD 21204-4421
(410) 828-6619
Mailing address
8804 COPPERLEAF WAY, FAIRFAX STATION, VA 22039
(571) 277-2162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002373
VA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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