Individual
ANNIE GENE BANKS WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
763 ORCHARD WAY, MANTECA, CA 95336-3553
(209) 637-7310
Mailing address
763 ORCHARD WAY, MANTECA, CA 95336-3553
(209) 637-7310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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