Individual
RACQUEL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3365 S 103RD ST, MILWAUKEE, WI 53227-4161
(414) 321-3951
(414) 321-8307
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6433-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588174627
—
WI
Enumeration date
10/03/2017
Last updated
03/09/2022
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