Autumn L Ballard

NPI #1255847828 in Canton, Ohio

Provider Information

NPI Number: 1255847828
Entity Type: Individual
Name: Autumn L Ballard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 624 MARKET AVE N
City: Canton
State: Ohio
ZIP Code: 44702-1017
Phone: (330) 493-4553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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