Individual
MRS. EDITH JOELLEN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 ALLEN AVE, ALTADENA, CA 91001-3424
(626) 488-4748
Mailing address
2671 VISTA LAGUNA TER, PASADENA, CA 91103-1026
(626) 488-4748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
06/17/2013
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