Individual
ERIN BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 VETERANS WAY, EGLIN AFB, FL 32542-1038
(850) 609-2650
Mailing address
100 VETERANS WAY, EGLIN AFB, FL 32542-1038
(850) 609-2650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14554
FL
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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