DOMINIQUE DESMOND FORD

GASTONIA, NC
NPI1144915497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-04-11
Last Update Date2023-04-11
Business Address
DOMINIQUE DESMOND FORD LCMHCA
620 SUMMIT CROSSING PL STE 305
GASTONIA, NC 28054-2176
Phone number: 704-387-5447
Mailing Address
DOMINIQUE DESMOND FORD LCMHCA
620 SUMMIT CROSSING PL STE 305
GASTONIA, NC 28054-2176
Phone number: 704-387-5447
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