Individual
MR. BENJAMIN WARREN DELANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
40880 PEDDER ROAD, BIG BEAR LAKE, CA 92315
(909) 866-5437
Mailing address
1095 MOUNT SHASTA RD, BIG BEAR CITY, CA 92314-9618
(310) 866-0875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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