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Individual

MR. BENJAMIN HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
512 S BURNETT RD, SPRINGFIELD, OH 45505-2720
(937) 328-3385
Mailing address
4763 SNIDER RD, FAIRBORN, OH 45324-1895
(937) 864-7053

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0005854
OH

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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