Individual
MR. JOSE MARIA BENZO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5305
Mailing address
103 WATERCOURSE ROW, ROCKY HILL, CT 06067-3264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001422
CT
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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