MEDICARE: MOLLY WARD LSW

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
1	101YP2500X	Professional Counselor	0009922004	CO

General Provider Information

NPI Number	:	1568926277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY WARD LSW

Provider Business Mailing Address
First Line	:	4803 E KENTUCKY AVE APT 615
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-2224
Country	:	US
Telephone Number	:	603-325-2127
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 485
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4326
Country	:	US
Telephone Number	:	603-325-2127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2019
Last Update Date	:	01/27/2019

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Directions to “ MOLLY WARD LSW” Practice Location

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