Individual
BRYAN BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 STRAUBE CENTER BLVD, PENNINGTON, NJ 08534-1468
(856) 630-5850
Mailing address
1 STONEHURST DR, VOORHEES, NJ 08043-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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