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1912535303
NICOLE BALLAS
MERRICK, NY
NPI
1912535303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 054977)
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
Mrs. NICOLE BALLAS LCSW
1839 HENRY RD
MERRICK, NY 11566-2340
Phone number: 516-974-8288
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Mailing Address
Mrs. NICOLE BALLAS LCSW
1839 HENRY RD
MERRICK, NY 11566-2340
Phone number: 516-974-8288
Copy
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