Individual
MRS. KELLY NICOLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5157 BUSINESS 220, BEDFORD, PA 15522
(814) 623-2961
Mailing address
426 PHOENIX DRIVE, CHAMBERSBURG, PA 17201-4537
(717) 261-9833
(717) 261-9832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017315
PA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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