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ERIN BALLOU LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063060507

Individual Registrant:
 ERIN  BALLOU LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 VETERANS WAY  EGLIN AFB, FL 32542-1038 US
Tel: 850-609-2650  Fax: --

Contact information for business:
100 VETERANS WAY  EGLIN AFB, FL 32542-1038 US
Tel: 850-609-2650  Fax: --

Registration Information:
NPI: 1063060507
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FL14554

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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