SHAY ELLETHA BANKSTON

TOLEDO, OH
NPI1821462367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OH  I.1502348)
Enumeration Date2015-11-20
Last Update Date2015-11-20
Business Address
SHAY ELLETHA BANKSTON LISW
5702 ANGOLA RD LOT 3
TOLEDO, OH 43615-6339
Phone number: 419-290-6323
Mailing Address
SHAY ELLETHA BANKSTON LISW
5702 ANGOLA ROAD LOT 3
TOLEDO, OH 43615
Phone number: 419-290-6323
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