Individual
DR. LEON BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4050 HIGHWAY 142, NEWBORN, GA 30056-2007
(706) 714-8977
Mailing address
PO BOX 36, NEWBORN, GA 30056-0036
(706) 714-8977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03289
GA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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