Individual
BETH A BALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 LONG HILL AVE, SHELTON, CT 06484-4260
(203) 906-5425
Mailing address
100 ELIZABETH ST, DERBY, CT 06418-1819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8473
CT
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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