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Individual

BENOY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW-C, LICSW

Contact information

Practice address
19709 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
(240) 593-6810
Mailing address
15112 PEACHSTONE DR, SILVER SPRING, MD 20905-4317
(240) 593-6810

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09243
MD
1041C0700X
Clinical Social Worker
LC302719
DC

Other

Enumeration date
04/01/2017
Last updated
04/01/2017
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