Individual
MRS. AUTUMN MARIE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16519 VICTOR ST STE 421, VICTORVILLE, CA 92395-3935
(442) 242-4325
Mailing address
PO BOX 926, BARSTOW, CA 92312-0926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104131
CA
Other
Enumeration date
09/30/2021
Last updated
08/04/2022
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