Individual
BENJAMIN MICHAEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20 1ST ST SW STE 202, MINOT, ND 58701-3851
(701) 852-0836
Mailing address
20 1ST ST SW STE 202, MINOT, ND 58701-3851
(701) 852-0836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5761
ND
1041C0700X
Clinical Social Worker
Primary
5761
ND
Other
Enumeration date
12/10/2020
Last updated
10/07/2024
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