Individual
BETHANY G BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2201 NE 112TH AVE APT G57, VANCOUVER, WA 98684-4266
(509) 520-7164
Mailing address
2201 NE 112TH AVE APT G57, VANCOUVER, WA 98684-4266
(509) 520-7164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61031123
WA
Other
Enumeration date
11/22/2016
Last updated
01/06/2025
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