Individual
BENJAMIN WENETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7285 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 853-5095
Mailing address
7285 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 853-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39857
ID
Other
Enumeration date
07/27/2016
Last updated
07/19/2022
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