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1235531641
DIANA ELAINE BALLARD
WEST JORDAN, UT
NPI
1235531641
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Former Name
DIANA ELAINE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9490518-3501)
Enumeration Date
2014-09-17
Last Update Date
2022-12-27
Business Address
Mrs. DIANA ELAINE BALLARD
9071 S 1300 W STE 210
WEST JORDAN, UT 84088-6725
Phone number: 801-833-1291
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Mailing Address
Mrs. DIANA ELAINE BALLARD
1368 W GREEN HEDGE WAY
WEST JORDAN, UT 84084-4140
Phone number: 801-833-1291
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