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Individual

MR. BENJAMIN LOREN HOGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
Mailing address
234 W 1ST S APT 2, REXBURG, ID 83440-1888
(208) 479-4975

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4171073
ID

Other

Enumeration date
08/12/2025
Last updated
08/12/2025
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