Individual
MRS. DIANA ELAINE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9071 S 1300 W STE 210, WEST JORDAN, UT 84088-6725
(801) 833-1291
Mailing address
1368 W GREEN HEDGE WAY, WEST JORDAN, UT 84084-4140
(801) 833-1291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9490518-3501
UT
Other
Enumeration date
09/17/2014
Last updated
12/27/2022
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