Individual
ANJALIQUE BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 LANCELOT CT, APT#1, SALEM, NH 03079-3555
(781) 600-5596
Mailing address
5 LANCELOT CT, APT#1, SALEM, NH 03079-3555
(781) 600-5596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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