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1174247738
SAMANTHA BALLARD
LEAVENWORTH, KS
NPI
1174247738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
SAMANTHA BALLARD
1719 METROPOLITAN AVE
LEAVENWORTH, KS 66048-1124
Phone number: 913-250-5634
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Mailing Address
SAMANTHA BALLARD
5863 NW 72ND ST
KANSAS CITY, MO 64151-1483
Phone number: 816-984-8280
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