Individual
BENJAMIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S LONGMONT AVE, LAFAYETTE, CO 80026-1539
(970) 281-7727
Mailing address
601 S LONGMONT AVE, LAFAYETTE, CO 80026-1539
(970) 281-7727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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