Individual
CAROLE ELAINE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
77 THEODORE DR, BRUNSWICK, ME 04011-9162
(207) 837-0538
(844) 640-0624
Mailing address
77 THEODORE DR, BRUNSWICK, ME 04011-9162
(207) 837-0538
(844) 640-0624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7308
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226870099
—
ME
Enumeration date
05/06/2006
Last updated
02/16/2024
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