Individual
KASSANDRAH DANIELLA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
289 WINDHAM RD, WILLIMANTIC, CT 06226-3528
(860) 465-2650
Mailing address
1317 EAST ST APT 613, NEW BRITAIN, CT 06053-2593
(860) 986-9405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8981
CT
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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