1760676175

Everything you always wanted to know about MS. CORELLA WARD LYNN MA LPC LMHC RD but were afraid to ask.

MS. CORELLA WARD LYNN MA LPC LMHC RD

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MS. CORELLA WARD LYNN MA LPC LMHC RD
Gender:
Female
Enumeration date:
2007-08-29
Last update date:
2007-08-29
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101YA0400X Addiction (Substance Use Disorder) none 94607
136A00000X Dietetic Technician, Registered none 666309

Phone Numbers

Type Number
Mailing Address Telephone Number 6703220306
Practice Location Address Telephone Number 6703220306

Addresses

Type Address City State Postal Country
Mailing Address PMB 146 BOX 10000 SAIPAN MP 96950 MP
Practice Location Address SIHEK CAPITAL HILL SAIPA MP 0 MP