Individual
MR. KEVIN ANTWAN BANKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 727-2439
Mailing address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 727-2439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015760
VA
1041S0200X
School Social Worker
—
VA
Other
Enumeration date
09/03/2019
Last updated
04/15/2024
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