Individual
ESPERANZA BALLENILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
325 HOSPITAL DR STE 106, GLEN BURNIE, MD 21061-5806
(443) 430-2998
(443) 431-8978
Mailing address
7310 RITCHIE HWY, SUITE #200-GB37, GLEN BURNIE, MD 21061
(253) 886-7324
(410) 744-0091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22719
LICENSE
MD
Enumeration date
04/28/2021
Last updated
10/09/2024
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