Individual
DENNIS BANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 423-2638
Mailing address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 423-2638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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