Individual
LISA LYNN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2428
Mailing address
38 CARRIAGE PL, URBANA, IL 61802-2153
(217) 898-3821
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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