GREGORY M. BANICKI

FORT WAYNE, IN
NPI1184785693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
Mr. GREGORY M. BANICKI M.S. Ed.
1910 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5000
Phone number: 260-484-5599
Mailing Address
Mr. GREGORY M. BANICKI M.S. Ed.
1910 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5000
Phone number: 260-484-5599
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