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1528886579
CHARITYE FORD
BLOOMINGTON, IN
NPI
1528886579
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34011429A)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
CHARITYE FORD LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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Mailing Address
CHARITYE FORD LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number:
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