Individual
JENNIFER BALISTRERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 N ALVERNON WAY, TUCSON, AZ 85712-3369
(520) 546-1642
Mailing address
2001 N ORANGE GROVE RD, 604, TUCSON, AZ 85704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-12207
AZ
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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