Individual
DEBORAH J BALLANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1590 SIESTA DR, SARASOTA, FL 34239-5819
(516) 314-9838
Mailing address
1590 SIESTA DR, SARASOTA, FL 34239-5819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12340
FL
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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