Tyrie Ballard

NPI #1780039867 in Carlsbad, New Mexico

Provider Information

NPI Number: 1780039867
Entity Type: Individual
Name: Tyrie Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 26, 2016
Last Updated: Apr 26, 2016

Practice Location

Address: 800 W PIERCE ST
City: Carlsbad
State: New Mexico
ZIP Code: 88220-5218
Phone: (575) 234-3335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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