Individual
DERRICK FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2106349
OH
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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