Individual
BERTA BALLI
Active
Individual
BERTA BALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00053006
WA
1041C0700X
Clinical Social Worker
Primary
L8665
OR
Other
Enumeration date
06/09/2006
Last updated
01/27/2020
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