Individual
BANKS THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
323 W MARTIN ST, RALEIGH, NC 27601-1352
(919) 451-9805
Mailing address
1631 MIDTOWN PL STE 104, RALEIGH, NC 27609-1300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020646
NC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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