Individual
DR. CASANDRA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 DESOTO AVE, CLARKSDALE, MS 38614-5218
(662) 302-4664
Mailing address
PO BOX 775, SHAW, MS 38773-0775
(662) 379-1959
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
155230
MS
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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