Individual
CHANELLE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E 25TH ST, NEW YORK, NY 10010-2547
(646) 209-7666
Mailing address
14 BROADWAY TERRACE, APT C, NEW YORK, NY 10040
(646) 209-7666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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