Kelly Baltzell

Name

Kelly Baltzell

Year of birth

1967

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Kelly Baltzell

Privacy Request

Additional Information

General: PSYCHOLOGIC PRACTICE

Specialty: PSYCHOLOGY

Address: 8704 NORTH BAY DR

City: CHANKASSEN

State: MN

Zip code: 55317

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 1998-10-20


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