| NPI | 1932816048 |
|---|---|
| Doing Business As | STRANGE FRUIT PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | SHERVONNE EVETTE BANKS Licensed Clinical Social Worker 757-240-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |