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NPI Code Detail

MEDICARE: BRENDA JOYCE WARD MSW, APSW, SSW

MEDICARE: BRENDA JOYCE WARD MSW, APSW, SSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker11484WI

General Provider Information

NPI Number : 1215100235
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA JOYCE WARD MSW, APSW, SSW
Provider Business Mailing Address
First Line : 6025 N GREEN BAY AVE UPPR LEVEL
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3811
Country : US
Telephone Number : 414-247-0801
Fax Number : 414-247-0816
Provider Business Practice Location Address
First Line : 6025 N GREEN BAY AVE UPPR LEVEL
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3811
Country : US
Telephone Number : 414-247-0801
Fax Number : 414-247-0816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2008
Last Update Date : 09/18/2024

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