Individual
GLYNIS BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 COMMANDANTS WAY, APT. 411, CHELSEA, MA 02150-4000
(215) 313-6570
Mailing address
325 COMMANDANTS WAY, APT. 411, CHELSEA, MA 02150-4000
(215) 313-6570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095796
NY
104100000X
Social Worker
21227
MD
104100000X
Social Worker
SW131685
PA
1041C0700X
Clinical Social Worker
21227
MD
1041C0700X
Clinical Social Worker
SW131485
PA
Other
Enumeration date
10/07/2015
Last updated
11/23/2015
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