Individual
ELISA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4430 RYAN ST, DURHAM, NC 27704-1808
(919) 608-7577
Mailing address
4430 RYAN ST, DURHAM, NC 27704-1808
(919) 608-7577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010305
NC
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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