Individual
MARIAH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 OLD ENGLAND LOOP, SANFORD, FL 32771-6583
(330) 256-6289
(407) 674-8992
Mailing address
1412 OLD ENGLAND LOOP, SANFORD, FL 32771
(330) 256-6289
(407) 674-8992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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