Individual
ANDREA LEE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SALEM ST, CHARLESTOWN, MA 02129-3007
(617) 955-0656
Mailing address
11 SALEM ST, CHARLESTOWN, MA 02129-3007
(617) 955-0656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7246
MA
Other
Enumeration date
03/04/2008
Last updated
05/23/2013
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