Individual
LISA BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11 SPRINT DR # 4, CARLISLE, PA 17015-7789
(717) 386-5237
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139004
PA
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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