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General NPI Number Information
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NPI Number | 1528671435
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Entity Type | Organization
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Legal Business Name | VANESSA E FORD, LCSW, P.C.
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1731 W ARTHUR AVE
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City | CHICAGO
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State | IL
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Zip | 60626-3910
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Country | US
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Telephone | 773-552-8070
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Fax | 773-305-2807
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Provider Business Mailing Address
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Address Line | 1731 W ARTHUR AVE
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City | CHICAGO
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State | IL
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Zip | 60626-3910
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Country | US
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Telephone | 773-552-8070
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Fax | 773-305-2807
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Authorized Official
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Title or Position | PRESIDENT
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Name | VANESSA ERICA FORD
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Credential | LCSW, CADC
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Telephone | 773-552-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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