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Individual

JANET JONES WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
I05597
NM
1041C0700X
Clinical Social Worker
Primary
34007997A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55523722
NM
Enumeration date
12/29/2006
Last updated
03/17/2018
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