| NPI | 1982221933 |
|---|---|
| Other Name | NICK BALLWEG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11205-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149025917) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-02-03 |