Individual
KIMBERLY DAWN BALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3228
(314) 819-0480
Mailing address
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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