Montie Dale Ford, CDC 1
NPI #1891079976 in Fairbanks, Alaska
Provider Information
- NPI Number
- 1891079976
- Entity Type
- Individual
- Name
- Montie Dale Ford, CDC 1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Credential
- CDC 1
- Enumeration Date
- Oct 6, 2011
- Last Updated
- Oct 6, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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