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1801481767
MARIAM BALLOUT
NEW YORK, NY
NPI
1801481767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 104393)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
MARIAM BALLOUT
961 SAINT NICHOLAS AVE APT 35
NEW YORK, NY 10032-5111
Phone number: 516-244-0442
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Mailing Address
MARIAM BALLOUT
961 SAINT NICHOLAS AVE APT 35
NEW YORK, NY 10032-5111
Phone number: 516-244-0442
Copy
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