Individual
ALLYSSA JUNE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4370 CHICAGO DR SW # 515, GRANDVILLE, MI 49418-1694
(586) 585-6551
Mailing address
15611 CHESTNUT AVE, EASTPOINTE, MI 48021-2392
(616) 723-1231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801105497
MI
Other
Enumeration date
11/10/2019
Last updated
08/10/2022
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