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Individual

MR. BENJAMIN E. SKOWYSZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, CSOTP

Contact information

Practice address
12232 GAYTON STATION BLVD, HENRICO, VA 23233-6623
(804) 360-3988
Mailing address
12232 GAYTON STATION BLVD, HENRICO, VA 23233-6623
(804) 360-3988

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0812000474
VA
1041C0700X
Clinical Social Worker
Primary
0904005727
VA

Other

Enumeration date
06/24/2013
Last updated
06/24/2013
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