MR. James Walter Banks JR., LCSW

NPI #1093936965 in Patchogue, New York

Provider Information

NPI Number
1093936965
Entity Type
Individual
Name
MR. James Walter Banks JR., LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
140 NORTH OCEAN AVE
ZIP Code
11772
Phone
(631) 654-8101

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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