Individual
DEBORAH W. BALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4356 BONNEY RD, SUITE 2-101, VIRGINIA BEACH, VA 23452-1200
(757) 498-1135
(757) 498-7018
Mailing address
4356 BONNEY RD, SUITE 2-101, VIRGINIA BEACH, VA 23452-1200
(757) 498-1135
(757) 498-7018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904001517
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098857
BCBS
—
05
—
89-45195
—
VA
Enumeration date
08/30/2006
Last updated
07/08/2007
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