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Individual

MR. BENJAMIN DAVID OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 563-5316
(540) 563-5254
Mailing address
5052 PLEASANT HILL DR, ROANOKE, VA 24018-3456

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006300
VA

Other

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