Individual
KATHERINE BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1970 COMMONWEALTH AVE APT 37, BRIGHTON, MA 02135-5838
(617) 412-8599
Mailing address
1970 COMMONWEALTH AVE APT 37, BRIGHTON, MA 02135-5838
(617) 412-8599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228625
MA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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