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Individual

MR. EARL BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
109 DOTY RD, FERRIDAY, LA 71334-4053
(318) 437-7040
Mailing address
435 TOWNSEND LANE, FERRIDAY, LA 71334
(318) 719-1742

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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