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Individual

MARVIN VERNARD BENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
181 CANAL ST FL 4, NEW YORK, NY 10013-4512
(212) 966-9537
Mailing address
181 CANAL ST FL 4, NEW YORK, NY 10013-4512

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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