Individual
JONATHAN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-8999
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11348
SC
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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