Individual
TYRIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W PIERCE ST, CARLSBAD, NM 88220-5218
(575) 234-3335
Mailing address
800 W PIERCE ST, CARLSBAD, NM 88220-5218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09274
NM
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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