Individual
NICOLE T. WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1833 3RD AVE, ANOKA, MN 55303-2424
(763) 421-5535
(763) 433-0226
Mailing address
1833 3RD AVE, ANOKA, MN 55303-2424
(763) 421-5535
(763) 433-0226
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5524
MN
Other
Enumeration date
08/08/2008
Last updated
05/11/2022
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