Individual
WENDY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5627 GETWELL RD, BUILDING B, SUITE 4, SOUTHAVEN, MS 38672-7313
(662) 349-2979
(662) 349-2978
Mailing address
5627 GETWELL RD, BUILDING B, SUITE 4, SOUTHAVEN, MS 38672-7313
(662) 349-2979
(662) 349-2978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7507
MS
1041C0700X
Clinical Social Worker
LSW4777
TN
Other
Enumeration date
05/12/2008
Last updated
07/22/2008
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