DOUGLAS WAYNE BALLAGH

SAN LUIS OBISPO, CA
NPI1013286624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS16576)
Enumeration Date2011-12-28
Last Update Date2011-12-28
Business Address
DOUGLAS WAYNE BALLAGH L.C.S.W.
HIGHWAY 1
SAN LUIS OBISPO, CA 93409-0001
Phone number: 805-547-7900
Mailing Address
DOUGLAS WAYNE BALLAGH L.C.S.W.
2109 LAGUNA NEGRA LN
ARROYO GRANDE, CA 93420-9653
Phone number: 805-343-0225
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