Individual
PROF. BENJAMIN EDWIN ALEXANDER-EITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, PHD
Contact information
Practice address
114 CRESTVIEW LN, BOONE, NC 28607-6415
(828) 355-9643
Mailing address
114 CRESTVIEW LN, BOONE, NC 28607-6415
(828) 355-9643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002954
NC
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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