Thomas C Ballantyne, LICSW
NPI #1144347642 in Lincoln, Massachusetts
Provider Information
- NPI Number
- 1144347642
- Entity Type
- Individual
- Name
- Thomas C Ballantyne, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 70 TRAPELO ROAD
- City
- Lincoln
- State
- Massachusetts
- ZIP Code
- 01773-6224
- Phone
- (617) 840-6306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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