Individual
ELIZABETH ANNE BALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED SOCIAL WOR
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
(801) 429-2001
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8579993-3502
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/28/2016
Last updated
05/20/2024
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