Individual
KATHERINE MARIE BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 W DONALD ST, WATERLOO, IA 50703-1624
(319) 232-4673
Mailing address
1420 W DONALD ST, WATERLOO, IA 50703-1624
(319) 232-4673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107984
IA
Other
Enumeration date
04/06/2021
Last updated
04/18/2022
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