MRS. Nicole Ballas, LCSW

NPI #1912535303 in Merrick, New York

Provider Information

NPI Number: 1912535303
Entity Type: Individual
Name: MRS. Nicole Ballas, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 31, 2020
Last Updated: Mar 31, 2020

Practice Location

Address: 1839 HENRY RD
City: Merrick
State: New York
ZIP Code: 11566-2340
Phone: (516) 974-8288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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