Individual
MISS AMY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
407 DOROTHY CT, WARNER ROBINS, GA 31088-2332
(478) 442-4942
Mailing address
407 DOROTHY CT, WARNER ROBINS, GA 31088-2332
(478) 442-4942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005111
GA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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