Individual
TAWNYA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 4TH AVE W STE 300, SHAKOPEE, MN 55379-1220
(952) 496-8623
Mailing address
200 4TH AVE W STE 300, SHAKOPEE, MN 55379-1220
(952) 496-8623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5757
MN
103T00000X
Psychologist
657
AK
Other
Enumeration date
06/13/2014
Last updated
01/26/2015
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