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Contact Information

JESSICA FORD, LCSW
8825 SOUTH HOWELL AVENUE
SUITE 305
OAK CREEK, WI53154
 Phone: 262-744-4090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for JESSICA FORD · (Female)

NPI Number 1275919144
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/03/2015
Last updated 08/03/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 249309
  • WI License # 8338-123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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