Individual
WEBSTER J BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 LACOMBE AVE APT 9I, BRONX, NY 10473-1506
(646) 309-3135
Mailing address
2225 LACOMBE AVE APT 9I, BRONX, NY 10473-1506
(646) 309-3135
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
394963
NY
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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