CARLA ANN FORD

PORTLAND, IN
NPI1922125384
Former NameCARLA ANN NICHOLS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005252A)
Enumeration Date2007-03-23
Last Update Date2016-02-15
Business Address
Mrs. CARLA ANN FORD L.C.S.W.
1758 W 100S JAY COUNTY HOPSITAL BEHAVIORAL HEALTH
PORTLAND, IN 47371
Phone number: 260-726-1865
Mailing Address
Mrs. CARLA ANN FORD L.C.S.W.
1758 W 100S JAY COUNTY HOPSITAL BEHAVIORAL HEALTH
PORTLAND, IN 47371
Phone number: 260-726-1865