Individual
ESTHER BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 STOCKER ST STE 105, LOS ANGELES, CA 90008-5129
(323) 294-4261
Mailing address
3761 STOCKER ST STE 105, LOS ANGELES, CA 90008-5129
(323) 294-4261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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