Individual
MRS. CARLA ANN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1758 W 100S, JAY COUNTY HOPSITAL BEHAVIORAL HEALTH, PORTLAND, IN 47371
(260) 726-1865
(260) 726-1901
Mailing address
1758 W 100S, JAY COUNTY HOPSITAL BEHAVIORAL HEALTH, PORTLAND, IN 47371
(260) 726-1865
(260) 726-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005252A
IN
Other
Enumeration date
03/23/2007
Last updated
02/15/2016
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