Individual
MRS. CLARICE M BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., CCC/SLP
Contact information
Practice address
6238 E PALM ST, MESA, AZ 85215-1558
(602) 321-9959
Mailing address
6238 E PALM ST, MESA, AZ 85215-1558
(602) 321-9959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2099
AZ
Other
Enumeration date
02/21/2007
Last updated
09/24/2014
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