Individual
VICKI BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6085 N 85TH AVE, GLENDALE, AZ 85305-2565
(623) 877-4004
Mailing address
5501 N 19TH AVE, 310, PHOENIX, AZ 85015-2450
(601) 433-1344
(602) 249-1570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1381
AZ
171M00000X
Case Manager/Care Coordinator
1381
AZ
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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