Individual
MILDRED B WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 453-6211
Mailing address
PO BOX 1505, GREENWOOD, MS 38935-1505
(662) 453-6211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1405
MS
104100000X
Social Worker
W3834
MS
Other
Enumeration date
08/01/2012
Last updated
08/02/2012
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