Individual
ANDREA LYNN BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
24 SOUTH OLIVE ST SUITE 105, WACONIA, MN 55387
(952) 442-5005
(952) 442-7586
Mailing address
24 SOUTH OLIVE ST SUITE 105, WACONIA, MN 55387
(952) 442-5005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2926
MN
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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