(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003535832
Provider Name: DENA LOUISE BALO LAC
Entity Type: Individual
Taxonomy Code: 101YM0800X
Specialty: Counselor
License Number: 37AC00663100
Most Important Dates
Enumeration Date: 08/24/2022
Last Updated: 08/24/2022
Provider Practice Location
801 LACEY RD
FORKED RIVER
NJ
087311301
Practice Location Phone/Fax
Phone: 6099718989
Fax:
Provider Mailing Location
801 LACEY RD
FORKED RIVER
NJ
087311301
Provider Mailing Phone/Fax
Phone: 6099718989
Fax: