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1407988025
MICHAEL R. FORD
LOS ANGELES, CA
NPI
1407988025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 5419)
Enumeration Date
2007-03-09
Last Update Date
2013-05-15
Business Address
Mr. MICHAEL R. FORD LCSW
6412 IVARENE AVE
LOS ANGELES, CA 90068-2824
Phone number: 310-715-2020
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Mailing Address
Mr. MICHAEL R. FORD LCSW
6412 IVARENE AVE
LOS ANGELES, CA 90068-2824
Phone number: 310-715-2020
Copy
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