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Individual

MRS. PATRICIA ANN WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1463 JASPER RD, GREENVILLE, NC 27834-6521
(252) 531-1303
Mailing address
1463 JASPER RD, GREENVILLE, NC 27834-6521
(252) 531-1303

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
455058661
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
455058661
NC
Enumeration date
04/18/2012
Last updated
04/18/2012
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