Individual
MR. JOHN PETER BENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2413 W 2200 N, LEHI, UT 84043-5761
(801) 735-2451
Mailing address
2413 W 2200 N, LEHI, UT 84043-5761
(801) 735-2451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4825269-3501
UT
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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