Individual
MS. ASYA BALAGULOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670-78 EAST 17TH STREET, BROOKLYN, NY 11229-1258
(718) 375-1200
(718) 382-3358
Mailing address
3178 NOSTRAND AVE APT 5A, BROOKLYN, NY 11229-3220
(718) 376-8781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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