Individual
MS. KRISTIN DEEANN BALAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 WALL ST, VALPARAISO, IN 46383-2514
(219) 615-9592
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
(219) 476-4583
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
IN
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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