Individual
MRS. AMRITA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21881 98TH AVE, QUEENS VILLAGE, NY 11429-1379
(347) 729-8232
Mailing address
21881 98TH AVE, QUEENS VILLAGE, NY 11429-1379
(347) 729-8232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101651-01
NY
104100000X
Social Worker
101651-1
NY
Other
Enumeration date
12/13/2017
Last updated
11/11/2020
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