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Individual

MR. BENJAMIN MATTHEW HATFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW, LADC

Contact information

Practice address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302616
MN
1041C0700X
Clinical Social Worker
Primary
20033
MN

Other

Enumeration date
08/05/2011
Last updated
10/29/2020
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