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1730461930
TERA FORD
PASADENA, CA
NPI
1730461930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 25371)
Enumeration Date
2011-09-13
Last Update Date
2013-06-17
Business Address
Dr. TERA FORD Psy, D
210 S DE LACEY AVE
PASADENA, CA 91105-2048
Phone number: 626-395-7100
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Mailing Address
Dr. TERA FORD Psy, D
PO BOX 63
LA VERNE, CA 91750-0063
Phone number:
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