MR. Tyrone D Ford, LCSW

NPI #1255009882 in Fairview Heights, Illinois

Provider Information

NPI Number
1255009882
Entity Type
Individual
Name
MR. Tyrone D Ford, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 30, 2021
Last Updated
Dec 9, 2024

Practice Location

Address
10850 LINCOLN TRL # 20-1861
ZIP Code
62208-0339
Phone
(314) 718-4503

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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