Individual
BENJAMIN SHUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6176 HIGHWAY 291 STE 203, NINE MILE FALLS, WA 99026-9572
(415) 444-6580
Mailing address
6176 HIGHWAY 291 STE 203, NINE MILE FALLS, WA 99026-9572
(415) 444-6580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
64886
CA
1041C0700X
Clinical Social Worker
Primary
LW60797565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102667
—
WA
Enumeration date
01/14/2010
Last updated
08/28/2024
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