Individual
RHODA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
246 FEDERAL RD, UNIT C-33, BROOKFIELD, CT 06804-2647
(203) 775-6269
(203) 740-7887
Mailing address
246 FEDERAL RD, UNIT C-33, BROOKFIELD, CT 06804-2647
(203) 775-6269
(203) 740-7887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004155
CT
104100000X
Social Worker
R038516-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004231601
—
CT
Enumeration date
02/21/2007
Last updated
06/02/2011
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