Organization
MARY K. BENJAMIN, LICSW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K BENJAMIN LICSW (PRESIDENT)
(401) 419-5147
Entity
Organization
Contact information
Practice address
291 MAIN ST STE 10, MILFORD, MA 01757-2526
(401) 419-5147
(508) 377-4106
Mailing address
49 TYLER DR, UXBRIDGE, MA 01569-1189
(401) 419-5147
(508) 377-4106
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
115406
MA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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