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Individual

BENJAMIN GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N3938
NM
Enumeration date
07/21/2016
Last updated
07/21/2016
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