Individual
MARY BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
235 S 3RD ST, BATESVILLE, AR 72501-5617
(870) 799-4325
Mailing address
235 S 3RD ST, BATESVILLE, AR 72501-5617
(870) 799-4325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8795-C
AR
1041C0700X
Clinical Social Worker
8795-C
AR
Other
Enumeration date
04/22/2015
Last updated
10/08/2024
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