Individual
MS. DEANA ANN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3926 S LADD AVE, WASHINGTON, OK 73093-9243
(405) 517-5541
Mailing address
PO BOX 73, WASHINGTON, OK 73093-0073
(405) 517-5541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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