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Individual
DR. KELLY S WARD
Active
Individual
DR. KELLY S WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2008R
NJ
1041C0700X
Clinical Social Worker
Primary
LCADC37LC00085400
NJ
1041C0700X
Clinical Social Worker
LCSW44SCO4516000
NJ
1041C0700X
Clinical Social Worker
SC45160
NJ
Other
Enumeration date
02/10/2007
Last updated
08/31/2021
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