Individual
LINDSEY RAE SILVER BALLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3120 WINDSOR CT, ELKHART, IN 46514-5556
(574) 267-1700
Mailing address
1521 HASS DR, SOUTH BEND, IN 46635-1929
(574) 575-2771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33010810A
IN
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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