Mia Balakushna
Mia Balakushna is a Social Worker in Fairfield, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
744 Empire St Ste 160Fairfield, CA 94533-5562
Phone: (925) 768-9296
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 73543 (CA) |
|---|
Record details
| NPI number | 1598048829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 22, 2011 |
| Last updated in NPPES | May 10, 2021 |
| Certification date | May 10, 2021 |
| Mailing address | 744 Empire St Ste 160, Fairfield, CA 94533-5562 |
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