Individual
AMBER RENEE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 CROSSROADS DR STE A, ARDMORE, OK 73401-2503
(580) 226-5209
Mailing address
PO BOX 1710, KINGSTON, OK 73439-1710
(580) 564-7374
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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