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1467178822
EMMA BALLANTINE
BRADENTON, FL
NPI
1467178822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW20496)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
EMMA BALLANTINE LCSW
2020 26TH AVE E
BRADENTON, FL 34208-7753
Phone number: 941-782-4600
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Mailing Address
EMMA BALLANTINE LCSW
PO BOX 197515
NASHVILLE, TN 37219-7515
Phone number: 941-782-4299
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