Individual
BENJAMIN P DETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
4906 RICHMOND ST, ERIE, PA 16509-1978
(814) 864-4226
Mailing address
202 PLUM ST APT 2, ERIE, PA 16507-2640
(814) 490-8764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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