Individual
MS. DEBORAH JOY BANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(575) 838-0150
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(575) 838-0150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I-07163
NM
101YM0800X
Mental Health Counselor
Primary
I07163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I-07163
LICENSED INDEPENDENT SOCIAL WORKER
NM
Enumeration date
11/11/2009
Last updated
07/30/2013
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