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MARY BANKS LCSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1619364288
Individual Registrant: MARY BANKS LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2199 HARRISON ST BATESVILLE, AR 72501-7416 US
Tel: 870-793-6774 Fax: 870-673-1997
Tel: 870-793-6774 Fax: 870-673-1997
Contact information for business:
2199 HARRISON ST BATESVILLE, AR 72501-7416 US
Tel: 870-793-6774 Fax: 870-673-1997
Tel: 870-793-6774 Fax: 870-673-1997
Registration Information:
NPI: 1619364288
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | AR | 8795-C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
