Individual
MS. DEANNA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALMFT
Contact information
Practice address
102 W KENWOOD AVE STE 120A, DECATUR, IL 62526-4368
(775) 209-9213
Mailing address
1163 S LAKE SHORE DR, DECATUR, IL 62521-3602
(702) 544-9343
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208000988
IL
Other
Enumeration date
03/20/2019
Last updated
08/19/2024
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