Individual
MR. BENJAMIN CHAUNCEY WILTSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 345-5571
Mailing address
309 S 3RD ST, WEST BRANCH, MI 48661-1333
(989) 965-0318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099945
MI
Other
Enumeration date
09/26/2016
Last updated
01/18/2024
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