DERRICK J FORD

SUMTER, SC
NPI1487843934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
Mr. DERRICK J FORD
1175 N GUIGNARD DR
SUMTER, SC 29150-1519
Phone number: 803-775-7898
Mailing Address
Mr. DERRICK J FORD
107 CAROLINA AVE
SUMTER, SC 29150-3411
Phone number: 803-436-5804