Individual
MRS. LAURA MARIE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43334 7 MILE RD STE 200, NORTHVILLE, MI 48167-2249
(734) 604-0925
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13981
MI
Other
Enumeration date
07/09/2013
Last updated
05/01/2019
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