Individual
MISS CATHERINE RUBY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1020 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-8101
(208) 746-7402
Mailing address
PO BOX 1123, LEWISTON, ID 83501-1123
(208) 743-8101
(208) 746-7402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-25694
ID
Other
Enumeration date
10/23/2006
Last updated
09/06/2007
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