Individual
MR. BRUCE KEVIN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
G 4511 MILLER RD, FLINT, MI 48507
(810) 230-2640
(810) 720-5434
Mailing address
G 4511 MILLER RD, FLINT, MI 48507
(810) 230-2640
(810) 720-5434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801071283
MI
Other
Enumeration date
06/09/2006
Last updated
08/23/2012
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