Individual
MS. LAURIE BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
05/02/2012
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