Individual
MR. WILLIAM CALVIT BANKSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
242 WEST SHAMROCK, PINEVILLE, LA 71360
(318) 484-6874
(318) 484-6232
Mailing address
1779 POLLARD PKWY, BATON ROUGE, LA 70808-8855
(225) 766-8891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2886
LA
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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