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1427110667
JEFFRY G. FORD
ROSEVILLE, MN
NPI
1427110667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: MN lp0502)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- JEFFRY G. FORD MA, LP, LICSW, LMFT
2233 HAMLINE AVE N
ROSEVILLE, MN 55113-5009
Phone number: 651-483-2522
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Mailing Address
-- JEFFRY G. FORD MA, LP, LICSW, LMFT
410 HALLAM AVE S
MAHTOMEDI, MN 55115-2217
Phone number: 651-483-2522
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