MEDICARE: MRS. ERIN LYN WARD LMSW

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	104100000X	Social Worker	8625	KS

General Provider Information

NPI Number	:	1578995668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN LYN WARD LMSW

Provider Business Mailing Address
First Line	:	2141 MAPLE LN
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046-3299
Country	:	US
Telephone Number	:	785-766-3513
Fax Number	:	785-749-2691

Provider Business Practice Location Address
First Line	:	2141 MAPLE LN
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046
Country	:	US
Telephone Number	:	785-766-3513
Fax Number	:	785-749-2691

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

Provider Enumeration Date	:	07/31/2013
Last Update Date	:	07/31/2013

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