Shawna Bally's National Provider Identifier (NPI) Details
Shawna Bally, LCSW
NPI: 1780417469
Enumeration Date: 2024-08-20
Last updated: 2024-08-20
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 22, SANTA CRUZ, CA
Phone:
Primary Practice Address: 141 APTOS VILLAGE WAY UNIT 202, APTOS, CA
Practice's phone: 831-316-3001