Individual
MR. ALEXANDER IVAN BANOVZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
800 ZORN AVE, SUITE B-708, LOUISVILLE, KY 40206-1433
(502) 287-6456
Mailing address
800 ZORN AVE, SUITE B-708, LOUISVILLE, KY 40206-1433
(502) 287-6456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
03/06/2015
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