Ford, Jennifer Lauren

Ford, Jennifer Lauren is an sole proprietor health care provider with primary practice located at 3325 Silas Creek Pkwy , Winston Salem NC 27103-3013. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ford, Jennifer Lauren can be contacted via phone (336) 713-4500.

Contact Information

Primary practice address
3325 Silas Creek Pkwy Winston Salem NC 27103-3013
Phone: (336) 713-4500
Fax: (336) 713-4501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 44SL05664700 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X C009135 North Carolina

Profile Details

NPI number 1134481062
LBN Legal business name Ford, Jennifer Lauren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2012
Last updated Aug 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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