Individual
MS. LILA ERAZO BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
110 BROADWAY, BUCKSPORT, ME 04416-4612
(207) 469-7371
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416-4612
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9866
ME
Other
Enumeration date
08/25/2006
Last updated
05/04/2012
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