Individual
MR. MICHAEL CHARLES BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3216
Mailing address
2412 N FILLMORE ST, LITTLE ROCK, AR 72207-3613
(501) 666-0505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-1138
AR
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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