Individual
LUIS JAVIER BALCAZAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
(765) 496-2139
Mailing address
902 N CHAUNCEY AVE, WEST LAFAYETTE, IN 47906-2706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
04/29/2016
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