Individual
VANESA NICOLE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29716 STATE HIGHWAY 53, GRAHAM, OK 73437-7343
(580) 222-6261
Mailing address
1219 K ST NW, ARDMORE, OK 73401-1801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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