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1043520679
BAIN C FORD
SPRINGFIELD, VA
NPI
1043520679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004320)
Enumeration Date
2010-10-17
Last Update Date
2010-10-17
Business Address
Dr. BAIN C FORD Psy.D.
8134 OLD KEENE MILL RD SUITE 101
SPRINGFIELD, VA 22152-1800
Phone number: 703-569-8731
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Mailing Address
Dr. BAIN C FORD Psy.D.
8134 OLD KEENE MILL RD SUITE 101
SPRINGFIELD, VA 22152-1800
Phone number: 703-569-8731
Copy
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