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Individual
STEPHEN RICHARD BALL
Active
Individual
STEPHEN RICHARD BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/01/2019
Last updated
10/29/2019
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