MRS. Mary Patrice Banton, M.ED., LPC, LCSW
NPI #1225233034 in Webster Groves, Missouri
Provider Information
- NPI Number
- 1225233034
- Entity Type
- Individual
- Name
- MRS. Mary Patrice Banton, M.ED., LPC, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.ED., LPC, LCSW
- Enumeration Date
- Jun 20, 2007
- Last Updated
- Dec 23, 2010
Practice Location
- Address
- 330 N GORE AVE
- City
- Webster Groves
- State
- Missouri
- ZIP Code
- 63119-1600
- Phone
- (314) 619-4729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
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