LAQUANTA FORD

FORT BENNING, GA
NPI1790043818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AL  3606C)
Enumeration Date2012-04-26
Last Update Date2014-09-16
Business Address
-- LAQUANTA FORD LCSW
7950 MARTIN LOOP
FORT BENNING, GA 31905-5648
Phone number: 706-626-2617
Mailing Address
-- LAQUANTA FORD LCSW
7950 MARTIN LOOP
FORT BENNING, GA 31905
Phone number: 706-626-2617
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