DR. DIANA BALLARD, PHD
Social Work at Travis Ave, Staten Island, NY

License number
New York BCCC#0557
Category
Social Work
Type
Pastoral
Address
Address
510 Travis Ave, Staten Island, NY 10314
Phone
(917) 763-2476
(718) 370-3534 (Fax)
National Provider ID: 1114465564
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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