Individual
MS. SUSAN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 E GERMAN ST, HERKIMER, NY 13350-1028
(315) 868-1000
Mailing address
417 E GERMAN ST, HERKIMER, NY 13350-1028
(315) 868-1000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
110971-01
NY
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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