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Individual

MR. MARK A WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW-S

Contact information

Practice address
805 OLD HARSHMAN RD, RIVERSIDE, OH 45431-1238
(937) 259-6630
(937) 259-6628
Mailing address
805 OLD HARSHMAN RD, RIVERSIDE, OH 45431-1238
(937) 259-6630
(937) 259-6628

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1041S0200X
OH

Other

Enumeration date
02/06/2014
Last updated
02/06/2014
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