Individual
DEANNE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1418 FILLMORE ST, TWIN FALLS, ID 83301-3380
(208) 735-2237
(208) 735-8552
Mailing address
2183 TENDOY ST, TWIN FALLS, ID 83301-7854
(208) 969-0425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31414
ID
Other
Enumeration date
10/23/2011
Last updated
02/24/2013
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