Individual
EMILY BALLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 755-1072
Mailing address
8759 CLINTON MACON RD, CLINTON, MI 49236-9572
(989) 755-1072
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCAR
CCAR
—
Enumeration date
07/25/2019
Last updated
02/24/2020
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