LORRAINE G BALLOU

EAST ISLIP, NY
NPI1952513921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  069259)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Mrs. LORRAINE G BALLOU LCSW
31 SHERWOOD DRIVE
EAST ISLIP, NY 11730
Phone number: 631-277-0099
Mailing Address
Mrs. LORRAINE G BALLOU LCSW
31 SHERWOOD DRIVE
EAST ISLIP, NY 11730
Phone number: 631-277-0099
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