Individual
DIANNA F. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2 COLUMBIA RD, STE 12, PEMBROKE, MA 02359-1842
(781) 925-2423
(781) 925-2650
Mailing address
5 SHEPARD AVE, PEMBROKE, MA 02359-3417
(781) 588-3880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113037
MA
Other
Enumeration date
11/13/2006
Last updated
06/29/2016
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