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1831303908
ELLEN J BALIS
BERKELEY, CA
NPI
1831303908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 18031)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- ELLEN J BALIS Ed.D.
2025 LINCOLN ST
BERKELEY, CA 94709-2017
Phone number: 925-783-3640
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Mailing Address
-- ELLEN J BALIS Ed.D.
4208 SPAULDING ST
ANTIOCH, CA 94531-8220
Phone number: 925-783-3640
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