MICAH BANNISTER

NEW BEDFORD, MA
NPI1568778405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-08-30
Last Update Date2010-08-30
Business Address
Mr. MICAH BANNISTER
543 NORTH ST
NEW BEDFORD, MA 02740-2782
Phone number: 508-984-5566
Mailing Address
Mr. MICAH BANNISTER
543 NORTH ST
NEW BEDFORD, MA 02740-2782
Phone number: 508-984-5566
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