Individual
MARY S BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11848 S. HARRELL'S FERRY RD., SUITE D, BATON ROUGE, LA 70816-0000
(225) 361-0089
(225) 361-0386
Mailing address
11848 S. HARRELL'S FERRY ROAD, SUITE D, BATON ROUGE, LA 70816-0000
(225) 923-1743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6329
LA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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