JOCELYN ALEXANDRIA BANNER - SCOTT
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1932053477- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10 MOUNTAIN ASHE PL, HAMPTON, VA, 236662175
- Phone
- (323) 610-1981
Specialties & Taxonomies
Social Worker, Clinical
Primary License: VA #0904019892