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1972585255
CARY JAMES BANKA
PORTAGE, IN
NPI
1972585255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004119A)
Enumeration Date
2005-11-14
Last Update Date
2007-07-08
Business Address
-- CARY JAMES BANKA LCSW
3349 WILLOWCREEK RD
PORTAGE, IN 46368-5015
Phone number: 219-762-9557
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Mailing Address
-- CARY JAMES BANKA LCSW
8123 KOOY DR
MUNSTER, IN 46321-1841
Phone number: 219-513-0641
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