Individual
MR. KEVIN M BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
Mailing address
736 MAPLE AVE, BRICK, NJ 08724-1554
(732) 232-5206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05592900
NJ
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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