Individual
JENNIFER BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WOODBINE LN, EAST MORICHES, NY 11940-1415
(631) 766-5297
Mailing address
17 WOODBINE LN, EAST MORICHES, NY 11940-1415
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
093673-01
NY
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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