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Individual

LISA WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
225 S SWOOPE AVE STE 211, MAITLAND, FL 32751-5786
(407) 622-0444
Mailing address
225 S SWOOPE AVE STE 211, MAITLAND, FL 32751-5786
(407) 622-0444

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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