Provider Information for 1053697912
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Mrs. DARLINDA K. BANDA EdS, MA, LPC, NCC
Sex: Female
NPI: 1053697912
Last Updated: 2016-04-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053697912 | ||||||||||||
| Enumeration Date | 2011-10-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4188 JOHN GARDNER RD KERSHAW, SC 29067-9178 United States Phone: 803-834-8284 | Fax:803-475-7833 | ||||||||||||
| Primary Practice Address | 4188 JOHN GARDNER RD KERSHAW, SC 29067-9178 United States Phone: 803-834-8284 | Fax:803-475-7833 | ||||||||||||
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