Individual
MR. BRODRICK BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10920 MCKINLEY DR, TAMPA, FL 33612-6471
(813) 745-0005
Mailing address
10920 MCKINLEY DR, TAMPA, FL 33612-6471
(813) 745-3583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
02/10/2023
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