| NPI | 1457027872 |
|---|---|
| Doing Business As | LESLIE BALOGNA |
| Entity Type | Organization |
| Authorized Contact | SHARON PIMENTEL Credentialing Billing Manager 978-455-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |