Individual
ALINA MCBRIDE BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
(269) 408-1692
Mailing address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
(269) 408-1692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801070820
MI
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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