Individual
LISA ANNETTE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 BEALE ST, SOUTH BEND, IN 46616-1804
(574) 393-6120
Mailing address
737 BEALE ST, SOUTH BEND, IN 46616-1804
(574) 393-6120
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10166776
IN
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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