Individual
DIANDRA BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
4841 WESTCHESTER DR APT 302, AUSTINTOWN, OH 44515-2553
(330) 318-2981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2512657
OH
Other
Enumeration date
11/14/2022
Last updated
07/23/2025
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