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Individual

BRANDON BENGUAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC1

Contact information

Practice address
36 MILLER STILE RD, QUINCY, MA 02169-5423
(855) 265-2159
Mailing address
57 CURTIS ST APT 5, QUINCY, MA 02169-1836

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22841
MA

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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