DONTAVIOUS FORD

STOCKBRIDGE, GA
NPI1487268744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: GA  PSY004428)
Enumeration Date2020-09-03
Last Update Date2020-09-03
Business Address
Dr. DONTAVIOUS FORD PhD
107 CHILDS ST
STOCKBRIDGE, GA 30281-3722
Phone number: 770-284-1791
Mailing Address
Dr. DONTAVIOUS FORD PhD
107 CHILDS ST
STOCKBRIDGE, GA 30281-3722
Phone number: