Individual
CORI BALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 689-1872
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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