CARY JAMES BANKA

PORTAGE, IN
NPI1972585255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004119A)
Enumeration Date2005-11-14
Last Update Date2007-07-08
Business Address
-- CARY JAMES BANKA LCSW
3349 WILLOWCREEK RD
PORTAGE, IN 46368-5015
Phone number: 219-762-9557
Mailing Address
-- CARY JAMES BANKA LCSW
8123 KOOY DR
MUNSTER, IN 46321-1841
Phone number: 219-513-0641