Kimberly Adaire Ward, L.C.S.W.
Social Worker, Clinical in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1265645691
StatusActive
Last updated in NPPESNov 28, 2018
Details
- NPI
- 1265645691
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Adaire Ward
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2007
- Last updated
- Nov 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS10280 | CA | Yes |
Practice location
2460 W 3rd St Ste 240Santa Rosa, CA 95401
Phone 707-355-0084
Mailing address
698 Echo Lake WaySanta Rosa, CA 95401-5780
Phone 707-355-0084
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