Individual
CORDARRYL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 FORTUNE TER STE C, POTOMAC, MD 20854-2910
(202) 751-6519
Mailing address
350 FORTUNE TER STE C, POTOMAC, MD 20854-2910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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