Individual
AUDREY BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1129 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45449-4004
(937) 418-4927
Mailing address
1129 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45449-4004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1701391
OH
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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