Individual
MRS. MARCELA BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 487-5400
Mailing address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 487-5423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
04/11/2012
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