-- TINA BALLARD --
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1750591376- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 252 S VETERANS BLVD, TUPELO, MS, 388045022
- Phone
- (662) 840-3008
- Fax
- (662) 841-3007
Specialties & Taxonomies
Social Worker
Primary License: MS #W4497
All Addresses
MAILING
1340 GUYTON CIR
WEST POINT, MS, 397734106