Individual
HOLLY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 CHURCH ST, CLAY, WV 25043-9413
(304) 587-2713
Mailing address
200 ELIZABETH ST, CHARLESTON, WV 25311-2197
(304) 348-7740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2410
WV
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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