Individual
MS. DENEDRIA RENEE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 S IDAHO ST APT 10, LA HABRA, CA 90631-5252
(310) 686-6141
Mailing address
PO BOX 2584, DOWNEY, CA 90242-1584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW76721
CA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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