Individual
JERICA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
918 SE 11TH ST, DES MOINES, IA 50309-5324
(515) 282-9377
(515) 282-6162
Mailing address
918 SE 11TH ST, DES MOINES, IA 50309-5324
(515) 282-9377
(515) 282-6162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072995
IA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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