Individual
CELESTINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1212 S 70TH ST STE 115A, MILWAUKEE, WI 53214-3105
(414) 902-1500
(414) 902-1515
Mailing address
1212 S 70TH ST STE 115A, MILWAUKEE, WI 53214-3105
(414) 902-1500
(414) 902-1515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12717-131
WI
1041C0700X
Clinical Social Worker
Primary
3259-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12717-131
SAC
WI
01
—
3259-123
LCSW
WI
05
—
39591800
—
WI
Enumeration date
02/21/2008
Last updated
02/21/2008
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