SHANNON BALLARD

TAMPA, FL
NPI1467855593
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2014-10-03
Last Update Date2014-10-03
Business Address
-- SHANNON BALLARD BS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Mailing Address
-- SHANNON BALLARD BS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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