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Individual
DR. CHARLES ANTHONY BENINCASA
Active
Individual
DR. CHARLES ANTHONY BENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY.61155333
WA
Other
Enumeration date
10/04/2019
Last updated
12/29/2021
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