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NPI 1013420660 · live from the CMS NPI Registry

Vanesa Nicole Ballard

Social Worker in Graham, OK. National Provider Identifier 1013420660, active.

NPI record

NPI1013420660 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location29716 State Highway 53, Graham, OK 73437
Practice phone580-222-6261
Mailing address1219 K St Nw, Ardmore, OK 73401
EnumeratedNovember 6, 2017
Last updatedNovember 6, 2017
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.