MR. Brent Derrick Banks JR., BA

NPI #1700568508 in Pontiac, Michigan

Provider Information

NPI Number
1700568508
Entity Type
Individual
Name
MR. Brent Derrick Banks JR., BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
BA
Enumeration Date
Aug 2, 2023
Last Updated
Aug 2, 2023

Practice Location

Address
1685 BALDWIN AVE STE 100
ZIP Code
48340-1242
Phone
(248) 706-3450

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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