Individual
JAMES BALUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
11369 MARKET ST, NORTH LIMA, OH 44452-9782
(309) 965-9999
(330) 757-0000
Mailing address
420 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1058
(330) 755-2147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311527
—
OH
Enumeration date
03/31/2016
Last updated
07/25/2019
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