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Individual

DAVE BENCIVENGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCADC

Contact information

Practice address
300 NORTH AVE E, CRANFORD, NJ 07016-2435
(908) 497-3954
(908) 931-0304
Mailing address
300 NORTH AVE E, CRANFORD, NJ 07016-2435
(908) 497-3954
(908) 931-0304

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00047100
NJ

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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