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Individual

ELIZABETH H BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4575 YATES RD # 101, CROSS PLAINS, TN 37049-4845
(210) 360-0303
(210) 615-5721
Mailing address
4575 YATES RD, CROSS PLAINS, TN 37049-4845
(210) 360-0303
(210) 922-0162

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18056
TX
1041C0700X
Clinical Social Worker
256005
KY
1041C0700X
Clinical Social Worker
6272
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06272
CLINICAL SOCIAL WORK LICENSE
TN
05
285038002
TX
Enumeration date
09/23/2011
Last updated
10/15/2021
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