Individual
BENJAMIN LEE LIST
Active
Individual
BENJAMIN LEE LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009924961
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09933017
CO
Other
Enumeration date
11/17/2023
Last updated
06/23/2026
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