LESLEY SELF FORD

FORDYCE, AR
NPI1134259443
Professional NameLESLEY FORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A1808119)
Enumeration Date2007-03-06
Last Update Date2024-01-26
Business Address
LESLEY SELF FORD LPC
201 N CLIFTON ST
FORDYCE, AR 71742-3026
Phone number: 870-352-6311
Mailing Address
LESLEY SELF FORD LPC
PO BOX 115
IVAN, AR 71748-0115
Phone number: 501-837-5773
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