Individual
ELIZABETH MARIE BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(803) 996-1500
Mailing address
204 VILLAGE GREEN WAY, LEXINGTON, SC 29072-8008
(678) 761-4689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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