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1134254360
CORYNNA NICHOLE FORD
SACRAMENTO, CA
NPI
1134254360
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Former Name
CORYNNA NICHOLE CRUTCHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 23652)
Enumeration Date
2007-02-21
Last Update Date
2023-03-02
Business Address
CORYNNA NICHOLE FORD LCSW
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825-4708
Phone number: 916-480-6924
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Mailing Address
CORYNNA NICHOLE FORD LCSW
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825-4708
Phone number: 916-482-6924
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