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MARY BANKS LCSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1619364288

Individual Registrant:
 MARY  BANKS LCSW
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

Contact information for business:
2199 HARRISON ST  BATESVILLE, AR 72501-7416 US
Tel: 870-793-6774  Fax: 870-673-1997

Registration Information:
NPI: 1619364288
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
AR8795-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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