Individual
SANDRA J WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
106 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8108
(843) 873-5063
Mailing address
106 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8108
(843) 873-5063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISW6617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
05
—
190166
—
SC
01
—
Q347973334
MEDICARE PTAN
SC
Enumeration date
10/03/2006
Last updated
06/30/2008
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