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1336716828
SUZANNE BALLEN
SAN ANDREAS, CA
NPI
1336716828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW113780)
Enumeration Date
2021-06-04
Last Update Date
2024-07-09
Business Address
SUZANNE BALLEN
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6525
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Mailing Address
SUZANNE BALLEN
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-419-5495
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