Individual
CYNTHIA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 HOWE ST, SUITE 14, NEW HAVEN, CT 06511-4620
(203) 624-1855
Mailing address
372 EDGEWOOD AVE FL 2, NEW HAVEN, CT 06511-4077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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