Provider Information for 1376905166
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ERICA ALAYNE BALCH LMSW
Sex: Female
NPI: 1376905166
Last Updated: 2016-03-22
Certification Date:
Certification Date:
Details
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NPI | 1376905166 | ||||||||
Enumeration Date | 2016-03-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2195 IRONWOOD CT COEUR D ALENE, ID 83814-2628 United States Phone: 208-769-1406 | Fax:208-769-1430 | ||||||||
Primary Practice Address | 2195 IRONWOOD CT COEUR D ALENE, ID 83814-2628 United States Phone: 208-769-1406 | Fax:208-769-1430 | ||||||||
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