Individual
MARIAH IVETTE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 POQUONOCK AVE, WINDSOR, CT 06095-2507
(475) 261-0459
Mailing address
E12 BRADLEY CIR, ENFIELD, CT 06082-3833
(860) 964-8010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11068
CT
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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