MARK BALLOU

PENSACOLA, FL
NPI1255736856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  12075)
Enumeration Date2014-10-27
Last Update Date2014-10-27
Business Address
-- MARK BALLOU MSW, LCSW
790 VETERANS WAY
PENSACOLA, FL 32507-1000
Phone number: 850-912-2000
Mailing Address
-- MARK BALLOU MSW, LCSW
790 VETERANS WAY
PENSACOLA, FL 32507-1000
Phone number:
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