Individual
COREY WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 BOWEN ST APT 2, BOSTON, MA 02127-2605
(724) 456-9958
Mailing address
175 BOWEN ST APT 2, BOSTON, MA 02127-2605
(724) 456-9958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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