Individual
AMY SUZANNE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 EASTERN AVE, BELLEFONTAINE, OH 43311-1975
(937) 407-3571
Mailing address
504 EASTERN AVE, BELLEFONTAINE, OH 43311-1975
(937) 407-3571
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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