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1912967647
CAROL ANN BALLOU
SALT LAKE CITY, UT
NPI
1912967647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 2663772501)
Enumeration Date
2006-03-25
Last Update Date
2007-07-08
Business Address
Dr. CAROL ANN BALLOU PHD
501 CHIPETA WAY
SALT LAKE CITY, UT 84108
Phone number: 801-583-2500
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Mailing Address
Dr. CAROL ANN BALLOU PHD
501 CHIPETA WAY
SALT LAKE CITY, UT 84108
Phone number: 801-483-3068
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