Individual
MS. EBONY LYNN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 270-4294
(904) 270-4453
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 270-4294
(904) 270-4453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6222
FL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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