Individual
BENJAMIN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10 BALSAM CRES, NEW HARTFORD, NY 13413-1302
(315) 723-6442
Mailing address
10 BALSAM CRES, NEW HARTFORD, NY 13413-1302
(315) 723-6442
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
NY
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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