TEDRA SHANISE BALLARD

VIRGINIA BEACH, VA
NPI1952047748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0906012260)
Enumeration Date2022-05-05
Last Update Date2023-10-03
Business Address
Miss TEDRA SHANISE BALLARD MSW
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454-3358
Phone number: 757-520-1312
Mailing Address
Miss TEDRA SHANISE BALLARD MSW
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454-3358
Phone number:
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