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Individual
LISA ANN BALLIEN
Active
Individual
LISA ANN BALLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802068558
MI
Other
Enumeration date
04/11/2012
Last updated
02/21/2024
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