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1235801614
TRACI R BALLOU-BROADNAX
HARRISONBURG, VA
NPI
1235801614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810007624)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
TRACI R BALLOU-BROADNAX PsyD
312 NEFF AVE
HARRISONBURG, VA 22801-3429
Phone number: 540-433-2858
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Mailing Address
TRACI R BALLOU-BROADNAX PsyD
312 NEFF AVE
HARRISONBURG, VA 22801-3429
Phone number: 540-433-2858
Copy
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