DIANA ELAINE BALLARD

WEST JORDAN, UT
NPI1235531641
Former NameDIANA ELAINE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  9490518-3501)
Enumeration Date2014-09-17
Last Update Date2022-12-27
Business Address
MRS. DIANA ELAINE BALLARD
9071 S 1300 W STE 210
WEST JORDAN, UT 84088-6725
Phone number: 801-833-1291
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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