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Individual

MR. JOHN R WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW LADC

Contact information

Practice address
401 WEST THAMES STREET, BLDG 301 SOUTHEASTERN MENTAL HEALTH AUTHORITY, NORWICH, CT 06360
(860) 859-4674
(860) 859-4790
Mailing address
401 WEST THAMES STREET, BLDG 301 SOUTHEASTERN MENTAL HEALTH AUTHORITY, NORWICH, CT 06360
(860) 859-4674
(860) 859-4790

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006597
CT

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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