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.

Social Work licenses in Florida