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Individual
THERESA SCIURBA BALLARDO
Active
Individual
THERESA SCIURBA BALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31448
CA
Other
Enumeration date
04/08/2020
Last updated
12/02/2020
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