Luis Javier Balcazar Jr.
Social Worker, Clinical in West Lafayette, IN. Individual provider (NPI-1).
NPI number1487055422
StatusActive
Last updated in NPPESApr 29, 2016
Details
- NPI
- 1487055422
- Entity type
- Individual (NPI-1)
- Name
- Luis Javier Balcazar Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2014
- Last updated
- Apr 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
601 Stadium Mall DrWest Lafayette, IN 47907-2052
Phone 765-494-6995 · Fax 765-496-2139
Mailing address
902 N Chauncey AveWest Lafayette, IN 47906-2706
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