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Individual

ANNA BANVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
300 BROADHOLLOW RD, MELVILLE, NY 11747-4824
(516) 472-5819
Mailing address
450 SPANGLE DR, NORTH BABYLON, NY 11703-3710

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111763-01

Other

Enumeration date
10/25/2021
Last updated
04/14/2026
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