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Individual

ERIC WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8260
(309) 683-7373
(309) 691-4408
Mailing address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8260
(309) 683-7373
(309) 691-4408

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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