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JULIET IANNOLI-BALLARD

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669044053

Individual Registrant:
 JULIET  IANNOLI-BALLARD 
Gender: F
Sole Proprietor

Location and contact information for practice:
2539 GWEN PL  OCEANO, CA 93445-9160 US
Tel: 805-235-9269  Fax: --

Contact information for business:
2539 GWEN PL  OCEANO, CA 93445-9160 US
Tel: 805-235-9269  Fax: --

Registration Information:
NPI: 1669044053
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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