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Individual
MARK WILSON WARD
Active
Individual
MARK WILSON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
8148314-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190077AHN
—
CA
Enumeration date
12/12/2011
Last updated
01/03/2023
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