Individual
MRS. LEE JUSTINE BANKS-STEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
4616 POPLAR RIDGE DR, FORT WORTH, TX 76123-4050
(817) 507-7252
Mailing address
4616 POPLAR RIDGE DR, FORT WORTH, TX 76123-4050
(817) 507-7252
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
TX
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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