Individual
MR. BENJAMIN SHOEMAKER REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1540 MARSH ST STE 260, SAN LUIS OBISPO, CA 93401-2985
(805) 903-2604
Mailing address
1540 MARSH ST STE 260, SAN LUIS OBISPO, CA 93401-2985
(805) 903-2604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23528
CA
Other
Enumeration date
04/26/2010
Last updated
08/02/2010
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