Stephanie Anita Banda, LCSW
NPI #1073936597 in Petersburg, Alaska
Provider Information
- NPI Number
- 1073936597
- Entity Type
- Individual
- Name
- Stephanie Anita Banda, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 4, 2014
- Last Updated
- Oct 21, 2014
Practice Location
- Address
- 202 GJOA STREET
- City
- Petersburg
- State
- Alaska
- ZIP Code
- 99833
- Phone
- (907) 772-4963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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