Raphael Ford
NPI #1982398459 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1982398459
- Entity Type
- Individual
- Name
- Raphael Ford
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 6, 2023
- Last Updated
- Jun 6, 2023
Practice Location
- Address
- 5600 W BROWN DEER RD STE 106
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53223-2346
- Phone
- (141) 451-7763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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