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Individual
MISS MADELINE BALOGLOU
Active
Individual
MISS MADELINE BALOGLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105123-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/11/2018
Last updated
11/25/2019
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