Individual
MIKAYLA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W MAIN ST, WALNUT RIDGE, AR 72476-1849
(870) 637-5903
Mailing address
700 W MAIN ST, WALNUT RIDGE, AR 72476-1849
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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