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ASTACIA FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1325 WRIGHT AVE. SUITE D, CROWLEY, LA 70526
(337) 514-5180
Mailing address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(318) 512-5119

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7418
LA

Other

Enumeration date
03/05/2017
Last updated
07/31/2020
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