KIMBERLY ELLEN BANACH

CHARLTON, MA
NPI1730859539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-09-14
Last Update Date2021-09-14
Business Address
Ms. KIMBERLY ELLEN BANACH
75 BOND RD
CHARLTON, MA 01507-1301
Phone number: 508-523-8371
Mailing Address
Ms. KIMBERLY ELLEN BANACH
75 BOND RD
CHARLTON, MA 01507-1301
Phone number: 774-200-3942
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