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Individual

MR. STACY BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 WEST SPRINGDALE AVE., KNOXVILLE, TN 37917
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/15/2017
Last updated
06/15/2017
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