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Individual

EVA FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
605 EAST WINFIELD AVE, MOUNT PLEASANT, IA 52641-2047
(319) 385-8051
(319) 385-7010
Mailing address
301 W BURLINGTON, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 472-4609

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
01917
IA
1041C0700X
Clinical Social Worker
Primary
01917
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
247048
MIDLANDS
IA
Enumeration date
08/05/2006
Last updated
05/12/2026
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