Provider Information for 1922249853
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Ms. HEATHER MARIE FORD LMSW
Sex: Female
NPI: 1922249853
Last Updated: 2023-06-22
Certification Date: 2022-11-28
Certification Date: 2022-11-28
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922249853 | ||||||||||||
| Enumeration Date | 2009-03-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1042 W HARBOR HWY MAPLE CITY, MI 49664-9715 United States Phone: 206-960-9833 | Fax: | ||||||||||||
| Primary Practice Address | 6408 WESTERN AVE GLEN ARBOR, MI 49636-5101 United States Phone: 206-960-9833 | Fax: | ||||||||||||
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