PETER PHILLIP FORD

LAFAYETTE, LA
NPI1285090399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
MR. PETER PHILLIP FORD
913 S COLLEGE RD 105
LAFAYETTE, LA 70503-3060
Phone number: 337-534-8433
Mailing Address
MR. PETER PHILLIP FORD
913 S COLLEGE RD 105
LAFAYETTE, LA 70503-3060
Phone number: 337-534-8433
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