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Individual

MRS. DANIELLE BALIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
75 BRIGHTON AVE, APT 6, ALLSTON, MA 02134-2110
(585) 613-5024
Mailing address
75 BRIGHTON AVE, APT 6, ALLSTON, MA 02134-2110
(585) 613-5024

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122525
MA
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/07/2015
Last updated
08/28/2020
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