Mr Tyrone D Ford, LCSW | |
2608 Greystone Estates Pkwy, Shiloh, IL 62221-3513 | |
(314) 718-4503 | |
(618) 416-2708 |
Full Name | Mr Tyrone D Ford |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2608 Greystone Estates Pkwy, Shiloh, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255009882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.018180 (Illinois) | Primary |
1041C0700X | Social Worker - Clinical | 2016002322 (Missouri) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Tyrone D Ford, LCSW 2608 Greystone Estates Pkwy, Shiloh, IL 62221-3513 Ph: (314) 718-4503 | Mr Tyrone D Ford, LCSW 2608 Greystone Estates Pkwy, Shiloh, IL 62221-3513 Ph: (314) 718-4503 |
Mia Bilotti-garmon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1941 Frank Scott Pkwy E Ste C, Shiloh, IL 62269 Phone: 618-972-1568 Fax: 618-205-3561 |