Individual
JACLYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-5811
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-5811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4552
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4552
STATE OF KANSAS
KS
Enumeration date
06/25/2020
Last updated
06/25/2020
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