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Individual

DR. LUCILLE JEAN BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT WITH A PH.D.

Contact information

Practice address
1801 HIGHWAY 99 N # 3, ASHLAND, OR 97520-9152
(541) 840-1117
Mailing address
1801 HIGHWAY 99 N # 3, ASHLAND, OR 97520-9152
(541) 840-1117

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT29381
CA
106H00000X
Marriage & Family Therapist
Primary
T0431
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
OR
Enumeration date
06/01/2012
Last updated
06/01/2012
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