Individual
MS. RACQUEL DELYTE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCSWA
Contact information
Practice address
1123 S CHURCH ST, CHARLOTTE, NC 28203-4003
(704) 370-3227
(704) 370-3377
Mailing address
1123 S CHURCH ST, CHARLOTTE, NC 28203-4003
(704) 370-3227
(704) 370-3377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1619
NC
1041C0700X
Clinical Social Worker
P010401
NC
Other
Enumeration date
02/19/2009
Last updated
11/28/2017
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