IVAN L BALLARD

LIMA, OH
NPI1003351412
Former NameIVAN LEE BALLARD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-12-21
Last Update Date2016-12-21
Business Address
-- IVAN L BALLARD cdca
311 E MARKET ST
LIMA, OH 45801-4535
Phone number: 419-222-4474
Mailing Address
-- IVAN L BALLARD cdca
311 E MARKET ST
LIMA, OH 45801-4535
Phone number: 419-222-4474
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