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1154860302
KIESHA FORD
SWANSEA, IL
NPI
1154860302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178000601)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
-- KIESHA FORD MA, LPC
6 EMERALD TER STE 4
SWANSEA, IL 62226-2312
Phone number: 618-516-3338
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Mailing Address
-- KIESHA FORD MA, LPC
904 FORT HENRY RD
BELLEVILLE, IL 62221-6622
Phone number: 618-795-0569
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