Organization
BENITA W ERWIN LCSW INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BENITA ERWIN L.C.S.W. (PRESIDENT)
(580) 436-7120
Entity
Organization
Contact information
Practice address
2100 N BROADWAY AVE, ADA, OK 74820-1048
(580) 436-7120
Mailing address
14537 COUNTY ROAD 3510, ADA, OK 74820-2711
(580) 436-7120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2252
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441743622003
BLUE CROSS BLUE SHIELD
OK
Enumeration date
08/19/2006
Last updated
08/20/2007
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