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Individual
JOAN BALABAN
Active
Individual
JOAN BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021959
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42667
MAGELLAN HEALTH CARE
MA
01
—
696145
TUFTS HEALTH CARE
MD
01
—
BAP07080
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
09/20/2006
Last updated
07/08/2007
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