Individual
MR. JAMES JOSEPH BALZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1499 6TH ST, GREEN BAY, WI 54304-2252
(920) 497-6161
(920) 498-0476
Mailing address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5500
(920) 288-5510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
998-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43739400
—
WI
Enumeration date
07/10/2008
Last updated
02/25/2021
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