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1386805315
CHASE TODD BANNISTER
DURHAM, NC
NPI
1386805315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C006086)
Enumeration Date
2008-06-23
Last Update Date
2022-07-21
Business Address
Mr. CHASE TODD BANNISTER MDIV MSW LCSW CEDS
817 BROAD ST
DURHAM, NC 27705-4137
Phone number: 202-670-5125
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Mailing Address
Mr. CHASE TODD BANNISTER MDIV MSW LCSW CEDS
2108 STUART DR
DURHAM, NC 27707-2262
Phone number: 202-670-5125
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