Individual
MAURA ANNE BANAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
(904) 695-2465
Mailing address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
(904) 695-2465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
10/28/2013
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