Individual
MARSHA BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
6701 FORTUNA RD NW, WEST MESA HS, ALBUQUERQUE, NM 87121-1306
(505) 831-6993
Mailing address
6701 FORTUNA RD NW, WEST MESA HS, ALBUQUERQUE, NM 87121-1306
(505) 831-6993
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I 2241
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S 9995
—
NM
Enumeration date
04/13/2007
Last updated
07/09/2007
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