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1023833738
SHAZAN BALLOUL
NEW PORT RICHEY, FL
NPI
1023833738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: TX 72229)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
SHAZAN BALLOUL LSSP
4507 ACKERMAN ST
NEW PORT RICHEY, FL 34653-5204
Phone number: 832-955-7265
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Mailing Address
SHAZAN BALLOUL LSSP
4507 ACKERMAN ST
NEW PORT RICHEY, FL 34653-5204
Phone number:
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