MICHAEL KEITH FORD

ANTHONY, NM
NPI1164648721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NM  M-05659)
Enumeration Date2007-04-18
Last Update Date2010-08-10
Business Address
MICHAEL KEITH FORD LMSW
820 HWY 478
ANTHONY, NM 88021
Phone number: 575-882-5101
Mailing Address
MICHAEL KEITH FORD LMSW
P.O. BOX 4430
ANTHONY, NM 88021
Phone number: 575-882-5101
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