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1679903199
STACEY BALLA
KUNA, ID
NPI
1679903199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 40516)
Enumeration Date
2013-11-19
Last Update Date
2023-01-17
Business Address
STACEY BALLA
145 E DEER FLAT RD
KUNA, ID 83634-1323
Phone number: 208-922-9001
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Mailing Address
STACEY BALLA
3085 N SARATOV WAY
KUNA, ID 83634-4856
Phone number: 702-582-2130
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