SAM R FORD

TOLEDO, OH
NPI1710674486
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA162201)
Enumeration Date2023-04-21
Last Update Date2023-04-21
Business Address
SAM R FORD CDCA 11
500 MADISON AVE STE 340
TOLEDO, OH 43604-1277
Phone number: 419-360-8251
Mailing Address
SAM R FORD CDCA 11
2428 W CENTRAL AVE APT 2B
TOLEDO, OH 43606-3715
Phone number: 419-360-8251
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