Individual
MS. MONICA BALLARD-BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
331 STATE ST, SUITE 300, MADISON, WV 25130-1367
(304) 369-5283
(304) 369-4800
Mailing address
331 STATE ST, SUITE 300, MADISON, WV 25130-1367
(304) 369-5283
(304) 369-4800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1135
WV
104100000X
Social Worker
AP00941739
WV
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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