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Larry Banks, LBSW QMHP

Social Worker in Midland, MI. Individual provider (NPI-1).

NPI number1699112680
StatusActive
Last updated in NPPESMay 30, 2013

Details

NPI
1699112680
Entity type
Individual (NPI-1)
Name
Mr. Larry Banks
Credential
LBSW QMHP
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2013
Last updated
May 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker6802085837MIYes

Practice location

218 Fast Ice Dr
Midland, MI 48642-6167

Phone 989-631-5140

Mailing address

1010 Vance Rd
Midland, MI 48640-6449

Phone 989-430-2177

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