Individual
ALYSSA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N ERIE ST, TOLEDO, OH 43604-1605
(419) 241-9277
Mailing address
457 NORA DR, PERRYSBURG, OH 43551-1475
(419) 327-7383
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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