Blue Balloon Lcsw Pllc
NPI #1043898224 in Kearny, New Jersey
Provider Information
- NPI Number
- 1043898224
- Entity Type
- Organization
- Organization Name
- Blue Balloon Lcsw Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 30, 2021
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 175 BELGROVE DR
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-1507
- Phone
- (201) 216-9500
Authorized Official
- Name
- DOVID SUSSMAN
- Title
- MEMBER
- Phone
- (201) 216-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Social Worker - Clinical — Clinical |
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