Individual
MR. BENJAMIN W. CORSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 338-1641
(505) 338-1646
Mailing address
PO BOX 25445, 1217 1ST ST., ALBUQUERQUE, NM 87125-0445
(505) 338-1641
(505) 338-1646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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