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1164911301
VIVEN BANKS
PORT SAINT LUCIE, FL
NPI
1164911301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
VIVEN BANKS
3581 SW KROMREY ST
PORT SAINT LUCIE, FL 34953
Phone number: 561-201-2915
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Mailing Address
VIVEN BANKS
3581 SW KROMREY ST
PORT SAINT LUCIE, FL 34953-5265
Phone number: 561-201-2915
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