LUTISSUA D BALLARD

GREEN VALLEY, AZ
NPI1093135659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: AZ  4480)
Enumeration Date2014-04-22
Last Update Date2024-03-04
Business Address
Dr. LUTISSUA D BALLARD PsyD
210 W CONTINENTAL RD STE 229
GREEN VALLEY, AZ 85622-3596
Phone number: 520-329-1579
Mailing Address
Dr. LUTISSUA D BALLARD PsyD
PO BOX 204
FORT MILL, SC 29716-0204
Phone number: 520-329-1579
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