Individual
BENJAMIN W SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3900 WASHINGTON AVE STE 100, EVANSVILLE, IN 47714-0550
(812) 485-6694
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006845A
IN
Other
Enumeration date
01/13/2017
Last updated
01/17/2018
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