ELLE LAUREL BALIUS LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1386441699- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LICSW
- Status
- Active
Contact & Location
- Address
- 3960 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN, 554332569
- Phone
- (763) 236-9236
- Fax
- (763) 236-9250
Specialties & Taxonomies
Social Worker, Clinical
Primary License: MN #26104