Individual
JESSICA J BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
Mailing address
PO BOX 13, 33 PROBASCO ST, CASNOVIA, MI 49318
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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