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Organization
KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY R BALLARD ACSW LLC (SOLE PROPRIETOR)
(906) 293-1982
Entity
Organization
Contact information
Practice address
405 NEWBERRY AVENUE, NEWBERRY, MI 49868
(906) 293-1982
(906) 293-1982
Mailing address
PO BOX 44, 405 NEWBERRY AVENUE, NEWBERRY, MI 49868
(906) 293-1982
(906) 293-1982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801059263
MI
Other
Enumeration date
09/06/2009
Last updated
10/29/2009
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