Individual
ANNETTE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
117 BLOSSOM CENTRE BLVD, WILLARD, OH 44890
(567) 560-3586
Mailing address
855 STATE ROUTE 96 E, SHILOH, OH 44878-8858
(419) 989-8548
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII161387
OH
Other
Enumeration date
03/21/2017
Last updated
02/21/2019
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