Ford, Tara

Ford, Tara is an individual health care provider with primary practice located at 1061 Harmon Ave Ste 1D03, Fort Stewart GA 31314-5641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ford, Tara can be contacted via phone (912) 435-6633.

Contact Information

Primary practice address
1061 Harmon Ave Ste 1D03 Fort Stewart GA 31314-5641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003107 Georgia

Profile Details

NPI number 1689645889
LBN Legal business name Ford, Tara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 22nd, 2013 - about 12 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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