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1174369938
LAKEASHA SHANELL FORD
HUNTSVILLE, AL
NPI
1174369938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 5792C)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
LAKEASHA SHANELL FORD LICSW
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
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Mailing Address
LAKEASHA SHANELL FORD LICSW
1131 EAGLETREE LN SW
HUNTSVILLE, AL 35801-6491
Phone number: 256-533-1970
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