Individual
MR. PAUL EDWARD BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 FAIRFIELD DR, HAMPTON, NH 03842-1139
(508) 451-4392
Mailing address
17 FAIRFIELD DR, HAMPTON, NH 03842-1139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123018
MA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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