MARIAH IVETTE BANKS
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1417832049- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 56 POQUONOCK AVE, WINDSOR, CT, 060952507
- Phone
- (475) 261-0459
Specialties & Taxonomies
Social Worker
Primary License: CT #11068