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Individual

KEISHA BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
108 S HIGHWAY 135 STE A, LAKELAND, GA 31635-6356
(229) 560-1135
Mailing address
PO BOX 431, LAKELAND, GA 31635-0431

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005833
GA

Other

Enumeration date
12/29/2006
Last updated
06/10/2014
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