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Individual
PAIGE BALLUCH
Active
Individual
PAIGE BALLUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC015704
PA
Other
Enumeration date
04/15/2021
Last updated
05/11/2023
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