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1912028507
JOE D FORD
PASADENA, CA
NPI
1912028507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- JOE D FORD
2055 LINCOLN AVE
PASADENA, CA 91103-1324
Phone number: 626-798-6793
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Mailing Address
-- JOE D FORD
271 W MARIPOSA ST
ALTADENA, CA 91001-4721
Phone number: 626-791-3524
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