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Individual
BENJAMIN SEYMOUR
Active
Individual
BENJAMIN SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
65027
PA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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