Individual
KATIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3743 MAIN ST, KANSAS CITY, MO 64111-1912
(816) 806-7107
Mailing address
3743 MAIN ST, KANSAS CITY, MO 64111-1912
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2020040695
MO
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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