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Individual

CAROLYN SUE BANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPS

Contact information

Practice address
321 W 7TH ST, COLUMBIA, TN 38401-3132
(931) 490-1441
(931) 490-1403
Mailing address
1522 CLAYTON DR, SMYRNA, TN 37167-6471
(931) 490-1441
(931) 490-1403

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000012
TN

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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