Individual
ASHLEY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 524-7400
Mailing address
883 E 1300 N, SHELLEY, ID 83274-5134
(208) 221-7241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW36608
ID
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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