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1265683320
REGINA LYNNE FORD
JACKSONVILLE, FL
NPI
1265683320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH6527)
Enumeration Date
2008-10-08
Last Update Date
2008-10-08
Business Address
-- REGINA LYNNE FORD M.Ed.
640 APPIAN WAY
JACKSONVILLE, FL 32208-3502
Phone number: 904-765-1237
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Mailing Address
-- REGINA LYNNE FORD M.Ed.
640 APPIAN WAY
JACKSONVILLE, FL 32208-3502
Phone number: 904-765-1237
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