Provider Information for 1235408188
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APRIL ALLISON BALZHISER LCPC, ICDVP
Sex: Female
NPI: 1235408188
Last Updated: 2011-12-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1235408188 | ||||||||
| Enumeration Date | 2011-12-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 702 PRINCETON LN NEW LENOX, IL 60451-3816 United States Phone: 815-474-5322 | Fax:815-485-7751 | ||||||||
| Primary Practice Address | 702 PRINCETON LN NEW LENOX, IL 60451-3816 United States Phone: 815-474-5322 | Fax:815-485-7751 | ||||||||
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