HEATHER DIANE BALZOMO

LEBANON, OR
NPI1598217408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7178)
Enumeration Date2016-10-26
Last Update Date2020-11-10
Business Address
HEATHER DIANE BALZOMO LCSW
675 N 5TH ST
LEBANON, OR 97355-2875
Phone number: 541-451-6282
Mailing Address
HEATHER DIANE BALZOMO LCSW
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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