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1144915497
DOMINIQUE DESMOND FORD
GASTONIA, NC
NPI
1144915497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
DOMINIQUE DESMOND FORD LCMHCA
620 SUMMIT CROSSING PL STE 305
GASTONIA, NC 28054-2176
Phone number: 704-387-5447
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Mailing Address
DOMINIQUE DESMOND FORD LCMHCA
620 SUMMIT CROSSING PL STE 305
GASTONIA, NC 28054-2176
Phone number: 704-387-5447
Copy
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