Individual
MISS ALTHERIA DENISE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5000 SOUTH 5TH AVENUE, BLDG 200 RM1565, HINES, IL 60141
(708) 202-8387
Mailing address
4800 S LAKESHORE DRIVE, UNIT 2010-SOUTH, CHICAGO, IL 60615
(773) 285-2985
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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