DANIELLE BALLETTO

MUSKOGEE, OK
NPI1598957466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   082797545)
Enumeration Date2007-08-15
Last Update Date2007-08-16
Business Address
-- DANIELLE BALLETTO
2310 W. BROADWAY
MUSKOGEE, OK 74401
Phone number: 918-682-7210
Mailing Address
-- DANIELLE BALLETTO
2310 W. BROADWAY
MUSKOGEE, OK 74401
Phone number: 918-682-7210
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