Individual
MICHELLE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, PSYCHOLOGY
Contact information
Practice address
308 ROMEO CT, HENDERSON, NC 27537-4809
(757) 334-1023
Mailing address
308 ROMEO CT, HENDERSON, NC 27537-4809
(757) 334-1023
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NC
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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