Individual
PAMELA B FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 657-6692
Mailing address
3536 PRAIRIE FOX LN, APARTMENT 4, ORLANDO, FL 32812-4086
(407) 816-0197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
IMH7592
FL
106H00000X
Marriage & Family Therapist
Primary
IMT1297
FL
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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