Amory E.w. Ballantine, LICSW
NPI #1023748407 in Olympia, Washington
Provider Information
- NPI Number
- 1023748407
- Entity Type
- Individual
- Name
- Amory E.w. Ballantine, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jun 16, 2022
- Last Updated
- May 28, 2025
Practice Location
- Address
- 413 LILLY RD NE
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5133
- Phone
- (360) 491-9480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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