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General NPI Number Information
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NPI Number | 1962422626
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Entity Type | Individual
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Provider Name | SANDRA CATHERINE WARD MSW, LSCSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | RUELLE DU GIQUEBON, 22
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City | WASMES
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State | FOREIGN
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Zip | 7340
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Country | BE
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Telephone | 01132473296083
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Fax |
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Provider Business Mailing Address
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Address Line | RUELLE DU GIQUEBON, 22
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City | WASMES
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State | FOREIGN
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Zip | 7340
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Country | BE
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Telephone | 01132473296083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSCSW 1334
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License Number State | KS
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