Provider Information for 1356996839
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MARIA ALEJANDRA BALAN LMHC
Sex: Female
NPI: 1356996839
Last Updated: 2019-08-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1356996839 | ||||||||
| Enumeration Date | 2019-08-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17945 SW 97TH AVE APT 451 PALMETTO BAY, FL 33157-5456 United States Phone: 305-992-3118 | Fax: | ||||||||
| Primary Practice Address | 17945 SW 97TH AVE APT 451 PALMETTO BAY, FL 33157-5456 United States Phone: 305-992-3118 | Fax: | ||||||||
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