Individual
BONNIE KINGSBURY BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BEAVER DAM RD # 1, CARVER, MA 02330-1326
(508) 333-6708
Mailing address
3 BEAVER DAM RD # 1, CARVER, MA 02330-1326
(508) 333-6708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114098
MA
253Z00000X
In Home Supportive Care Agency
—
MA
Other
Enumeration date
08/31/2018
Last updated
08/20/2019
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