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Individual

C. LEIGH BENOWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, BCD

Contact information

Practice address
146 RIDGE ST, ARLINGTON, MA 02474-1737
(781) 641-1029
(781) 641-1029
Mailing address
146 RIDGE ST, ARLINGTON, MA 02474-1737
(781) 641-1029
(781) 641-1029

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106972
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000277988000
AETNA PROVIDER NUMBER
01
372730
MAGELLAN PROVIDER NUMBER
MA
01
PO4434
BC/BS PROVIDER NUMBER
MA
Enumeration date
07/23/2006
Last updated
07/08/2007
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