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1104970201
JILL A BALK
HUNTINGTON STATION, NY
NPI
1104970201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R023629)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Ms. JILL A BALK LCSW
15 EDGEWOOD PL
HUNTINGTON STATION, NY 11746-1306
Phone number: 631-385-9855
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Mailing Address
Ms. JILL A BALK LCSW
15 EDGEWOOD PL
HUNTINGTON STATION, NY 11746-1306
Phone number: 631-385-9855
Copy
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