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Individual

CRYSTAL FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2905 MITCHELLVILLE RD, 201, BOWIE, MD 20716-1385
(703) 859-1709
Mailing address
2905 MITCHELLVILLE RD, 201, BOWIE, MD 20716-1385
(703) 859-1709

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MD

Other

Enumeration date
07/31/2014
Last updated
10/15/2014
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