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Individual

MR. ADRIAN J. BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W., LMSW

Contact information

Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
Mailing address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092953-1
NY

Other

Enumeration date
04/23/2016
Last updated
04/23/2016
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