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Individual

DR. JOSEPH ALLEN FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2412 E VIRGINIA BEACH BLVD, SUITE D, NORFOLK, VA 23504-3628
(757) 622-7474
(757) 622-8585
Mailing address
1605 SWORD CT, VIRGINIA BEACH, VA 23464-8117
(757) 479-2314
(757) 622-8585

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002422
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
088479
ANTHEM BC/BS
VA
01
11412343
CAQH
VA
01
195633
COMPSYCH
IL
Enumeration date
11/29/2005
Last updated
07/09/2007
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