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1992006530
MICHAEL BANACH
DOYLESTOWN, PA
NPI
1992006530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-13
Last Update Date
2010-11-13
Business Address
-- MICHAEL BANACH MS
711 HYDE PARK
DOYLESTOWN, PA 18902-6612
Phone number: 610-644-6464
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Mailing Address
-- MICHAEL BANACH MS
1440 RUSSELL RD
PAOLI, PA 19301-1236
Phone number: 610-644-6464
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