Individual
CHARLES W BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8912 TOWN AND COUNTRY CIR, #6, KNOXVILLE, TN 37923-4900
(865) 690-7169
Mailing address
8912 TOWN AND COUNTRY CIR, #6, KNOXVILLE, TN 37923-4900
(865) 690-7169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000000872
TN
Other
Enumeration date
08/30/2006
Last updated
05/05/2008
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