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1114465564
DIANA BALLARD
STATEN ISLAND, NY
NPI
1114465564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
(Licence: NY BCCC#0557)
Enumeration Date
2017-02-06
Last Update Date
2017-04-21
Business Address
Dr. DIANA BALLARD PhD
510 TRAVIS AVE
STATEN ISLAND, NY 10314-6154
Phone number: 917-763-2476
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Mailing Address
Dr. DIANA BALLARD PhD
510 TRAVIS AVE
STATEN ISLAND, NY 10314-6154
Phone number: 917-763-2476
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