Most Relevant Information
Provider Data
| NPI Number: | 1003400193 |
| Provider Name: | LACEY BALLEW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 4850 |
Most Important Dates
| Enumeration Date: | 03/01/2021 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
1000 E 23RD ST
SIOUX FALLS
SD
571052108
Practice Location Phone/Fax
| Phone: | 0563227549 |
| Fax: |
Provider Mailing Location
1000 E 23RD ST
SIOUX FALLS
SD
571052108
Provider Mailing Phone/Fax
| Phone: | 6053223211 |
| Fax: |