Individual
TOWANDA WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(662) 374-5029
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(662) 374-5029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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