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Individual

DR. PATRICIA G BANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LISW-CP

Contact information

Practice address
3710 LANDMARK DR STE 204A, COLUMBIA, SC 29204-4034
(803) 360-3376
Mailing address
3710 LANDMARK DR STE 204A, COLUMBIA, SC 29204-4034
(803) 360-3376

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6091
SC
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6091
SC
Enumeration date
04/07/2007
Last updated
03/12/2021
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