Mia Balakushna
Social Worker in Fairfield, CA. Individual provider (NPI-1).
NPI number1598048829
StatusActive
Last updated in NPPESMay 10, 2021
Details
- NPI
- 1598048829
- Entity type
- Individual (NPI-1)
- Name
- Mia Balakushna
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2011
- Certification date
- May 10, 2021
- Last updated
- May 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 73543 | CA | Yes |
Other names
- Mia Hogains (Former Name)
Practice location
744 Empire St Ste 160Fairfield, CA 94533-5562
Phone 925-768-9296
Mailing address
744 Empire St Ste 160Fairfield, CA 94533-5562
Phone 259-768-9296
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All 105 Social Worker providers in Fairfield · All 4,218 providers in Fairfield
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