Individual
KENAE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11901 TOEPPERWEIN RD STE 1202, LIVE OAK, TX 78233-3159
(210) 951-3479
Mailing address
11505 TROUBADOUR TRL, SAN ANTONIO, TX 78245-2073
(210) 926-9202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107281
TX
171M00000X
Case Manager/Care Coordinator
107281
TX
Other
Enumeration date
05/09/2023
Last updated
05/11/2023
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