Individual
MS. CARLA D. BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5886 BARKELEY AVE, FORT CARSON, CO 80913-4152
(719) 526-9730
Mailing address
5886 BARKELEY AVE, FORT CARSON, CO 80913-4152
(719) 526-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1597-123
WI
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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