WILLIAM BLAKE FORD

OMAHA, NE
NPI1053866574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  10922)
Enumeration Date2016-08-25
Last Update Date2016-08-25
Business Address
-- WILLIAM BLAKE FORD
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-6408
Mailing Address
-- WILLIAM BLAKE FORD
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-6408
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