Organization
SCOTT M BANFORD, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BANFORD (OWNER)
(201) 320-2802
Entity
Organization
Contact information
Practice address
8109 ALEXANDRIA PIKE STE 3, ALEXANDRIA, KY 41001-1110
(201) 320-2802
(844) 770-0407
Mailing address
116 PLEASANT ST, COVINGTON, KY 41011-3402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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