Individual
CAROLYN ANN BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 E NEW ENGLAND AVE, 225, WINTER PARK, FL 32789-4346
(407) 696-8800
Mailing address
1391 RICHMOND RD, WINTER PARK, FL 32789-5060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6958
FL
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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