Individual
JOHN WARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
79 WEAVER STREET, VERMONT CHILDRENS AID SOCIETY, WINOOSKI, VT 05404-0127
(802) 655-0006
(802) 655-0073
Mailing address
79 WEAVER STREET, PO BOX 127 VERMONT CHILDRENS AID SOCIETY, WINOOSKI, VT 05404-0127
(802) 655-0006
(802) 655-0073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000675
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006817
—
VT
01
—
383035
MVP HEALTH CARE
VT
01
—
38771
BLUE CROSS BLUE SHIELD
VT
Enumeration date
05/03/2006
Last updated
07/08/2007
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