Individual
DEBORAH A BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7105 HAMILTON AVE, CINCINNATI, OH 45231-5218
(513) 699-9240
(513) 681-8959
Mailing address
PO BOX 634927, CINCINNATI, OH 45263-0042
(513) 699-9240
(513) 681-8959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-0004473
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00307274
RR MEDICARE
—
Enumeration date
07/21/2006
Last updated
03/24/2014
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