Individual
MR. TONY EUGENE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
6675 VIRBURNUM STREET, WELLINGTON, CO 80549
(970) 590-0803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW000012
TN
104100000X
Social Worker
—
TN
Other
Enumeration date
10/06/2006
Last updated
11/03/2010
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