Individual
MR. JAMES G BALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR # 4420, FAIRFAX, VA 22031-4512
(571) 623-3500
Mailing address
2505 KEY BLVD, ARLINGTON, VA 22201-4021
(703) 525-1555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002758
VA
Other
Enumeration date
10/25/2011
Last updated
03/28/2024
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