Individual
STACEY A BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
6600 E SCHAAF RD, INDEPENDENCE, OH 44131-1316
(216) 524-3787
Mailing address
37057 CHADDWYCK LN, NORTH RIDGEVILLE, OH 44035-8745
(440) 353-3326
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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