MISS Jacquelyn Richelle Ford

NPI #1861754103 in Ardmore, Oklahoma

Provider Information

NPI Number
1861754103
Entity Type
Individual
Name
MISS Jacquelyn Richelle Ford
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 12, 2012
Last Updated
Jun 12, 2012

Practice Location

Address
823 G ST NW
ZIP Code
73401-4049
Phone
(580) 279-3977

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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