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Individual

BARBARA BANCHICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LPN

Contact information

Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0013201
OH
164W00000X
Licensed Practical Nurse
PN52114
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013201
STATE OF OHIO, COUNSELOR
OH
01
PN52114
OHIO NRUSING BOARD
OH
Enumeration date
08/11/2010
Last updated
08/11/2010
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