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Individual

ALVANISHA ALIESHA FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2439 MANHATTAN BLVD STE 207, HARVEY, LA 70058-5361
(504) 278-0691
Mailing address
2439 MANHATTAN BLVD HARVEY LA 70058, 2439 MANHATTAN BLVD SUITE 207, HARVEY, LA 70058

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA

Other

Enumeration date
01/10/2019
Last updated
01/10/2019
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