Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 1041S0200X | School Social Worker | ||
N | 225400000X | Rehabilitation Practitioner |
NPI | 1053715037 |
---|---|
Provider Name | Vernice Ward |
First Address | Atlanta, GA 30345 |
Second Address | Atlanta, GA 30345-2918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2014 |
Last Update Date | 16/05/2017 |