SUSANNAH FORD

SOUTH PORTLAND, ME
NPI1275705246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC5708)
Enumeration Date2008-03-30
Last Update Date2011-04-25
Business Address
-- SUSANNAH FORD L.C.S.W.
131 OCEAN ST
SOUTH PORTLAND, ME 04106-3649
Phone number: 207-799-1873
Mailing Address
-- SUSANNAH FORD L.C.S.W.
142 OCEAN HOUSE RD
CAPE ELIZABETH, ME 04107-1123
Phone number: 207-347-9357
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