MISS Altheria Denise Ford, LSW

NPI #1972771608 in Hines, Illinois

Provider Information

NPI Number: 1972771608
Entity Type: Individual
Name: MISS Altheria Denise Ford, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Feb 15, 2008
Last Updated: Feb 15, 2008

Practice Location

Address: 5000 SOUTH 5TH AVENUE
Address 2: BLDG 200 RM1565
City: Hines
State: Illinois
ZIP Code: 60141
Phone: (708) 202-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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