Individual
JEREMY WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648
(601) 250-4815
Mailing address
115 RICHLAND EAST CIRCLE, RICHLAND, MS 39218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2571
MS
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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