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Individual

BENJAMIN DAVID NESBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
121 5TH AVE W, ALEXANDRIA, MN 56308-1303
(320) 759-3096
(320) 759-3097
Mailing address
121 5TH AVE W, ALEXANDRIA, MN 56308-1303
(320) 759-3096
(320) 759-3097

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17537
MN

Other

Enumeration date
05/01/2012
Last updated
03/05/2022
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