Individual
ALEXANDRA BENYAMINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2700 WILLOW GLEN DR, BALTIMORE, MD 21209-3103
(718) 640-5668
Mailing address
2700 WILLOW GLEN DR, BALTIMORE, MD 21209-3103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17516
MD
Other
Enumeration date
09/30/2014
Last updated
01/09/2016
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