Individual
MRS. CAROLEE KAY BALLIETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 S WALNUT ST, BUCYRUS, OH 44820-2324
(419) 562-2400
Mailing address
PO BOX 722, BUCYRUS, OH 44820-0722
(419) 562-2400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1302502
OH
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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