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1649924754
REVA MCMILLAN FORD
DALLAS, TX
NPI
1649924754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 59988)
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
REVA MCMILLAN FORD LCSW
15190 PRESTONWOOD BLVD APT 3131023
DALLAS, TX 75248-4730
Phone number: 318-381-9554
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Mailing Address
REVA MCMILLAN FORD LCSW
PO BOX 801206
DALLAS, TX 75380-1206
Phone number: 318-381-9554
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