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Individual

MR. BENJAMIN WILLSON SWAIN

Active
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Individual

MR. BENJAMIN WILLSON SWAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, ICADC,CADC II

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10191-502
DC
1041C0700X
Clinical Social Worker
13207
MD
1041C0700X
Clinical Social Worker
Primary
LC50078081
DC

Other

Enumeration date
08/31/2006
Last updated
10/24/2009
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