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1528137874
MARY ELIZABETH BALLARD
KINGSPORT, TN
NPI
1528137874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TN PE0000001407)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Ms. MARY ELIZABETH BALLARD MA
2001 STONEBROOK PLACE
KINGSPORT, TN 37660
Phone number: 423-224-1318
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Mailing Address
Ms. MARY ELIZABETH BALLARD MA
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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