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Individual

MR. BENJAMIN BARRY SELIGMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
465 GLENDALE RD, HAMPDEN, MA 01036-9106
(413) 566-5041
Mailing address
465 GLENDALE RD, HAMPDEN, MA 01036-9106
(413) 566-5041

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1017156
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1017156
LICSW
MA
Enumeration date
10/17/2011
Last updated
10/17/2011
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