Individual
MRS. WALTRAUT M BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
105 MEDWAY ST, PROVIDENCE, RI 02906-4401
(401) 578-3666
Mailing address
59 NEW ST, REHOBOTH, MA 02769-2911
(508) 252-4861
(508) 252-4861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISWOO164
RI
Other
Enumeration date
11/15/2006
Last updated
07/09/2007
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