Individual
ANDREW BENJAMIN CANVASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3980 W CRYSTAL DR, GOLDEN VALLEY, AZ 86413-9112
(248) 826-4977
Mailing address
3980 W CRYSTAL DR, GOLDEN VALLEY, AZ 86413-9112
(248) 826-4977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-21616
AZ
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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