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1235548793
JAIME SAMANTHA BALIS
JERICHO, NY
NPI
1235548793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 086530-01)
Enumeration Date
2014-08-10
Last Update Date
2022-04-27
Business Address
JAIME SAMANTHA BALIS LCSW
82 BOUNTY LN
JERICHO, NY 11753-2210
Phone number: 516-312-5739
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Mailing Address
JAIME SAMANTHA BALIS LCSW
245 E 63RD ST APT 32G
NEW YORK, NY 10065-7432
Phone number: 516-312-5739
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