Individual
CANDACE JEAN BALLSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1415 TOWN SQUARE LN, FARIBAULT, MN 55021-6088
(507) 323-8100
Mailing address
20325 410TH ST, GOODHUE, MN 55027-7006
(651) 380-9528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20007
MN
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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