Individual
ANGELA R WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
85 STONE ST, AUGUSTA, ME 04330-5222
(208) 458-7725
Mailing address
10 BEECH ST, FARMINGDALE, ME 04344-1604
(207) 458-7725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5116
ME
Other
Enumeration date
11/21/2018
Last updated
05/03/2019
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