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1740208982
GEORGELLA MCCLINTON FORD
SAINT LOUIS, MO
NPI
1740208982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO sw001999)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- GEORGELLA MCCLINTON FORD msw
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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Mailing Address
-- GEORGELLA MCCLINTON FORD msw
6 JASON DR
GLEN CARBON, IL 62034-3051
Phone number: 618-288-7589
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