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Individual
MR. BENJAMIN H ROBERTSON
Active
Individual
MR. BENJAMIN H ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
31853
ID
1041C0700X
Clinical Social Worker
Primary
5645
ND
1041C0700X
Clinical Social Worker
LCSW-994
WY
1041C0700X
Clinical Social Worker
PCSW-638
WY
Other
Enumeration date
01/30/2012
Last updated
03/16/2020
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