MARK A BALLOU, JR
Social Work at Spg Crk Blvd, Crestview, FL

License number
Florida 6992
Issued Date
Nov 4, 2011
Effective Date
Jun 25, 2014
Expiration Date
Mar 31, 2015
Category
Health Care
Type
Registered Clinical Social Worker Intern
Address
Address 2
800 Spring Creek Blvd APT 3104, Crestview, FL 32536
6 11Th Ave SUITE G-1, Shalimar, FL 32579
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Mark Ballou
10110 Us Highway 301 S LOT 12, Riverview, FL 33578
(813) 732-3051
Mark Ballou, age 63
4921 Halifax Dr, Tampa, FL 33615
(813) 886-2804
Mark Ballou, age 45
3807 Orangepointe Rd, Valrico, FL 33596
(813) 361-1098
Mark A Ballou, age 63
9003 Crane Dr, Tampa, FL 33615
(813) 884-1794
Mark A Ballou, age 63
4921 Halifax Dr, Tampa, FL 33615
(813) 886-2804

Social Work licenses in Florida