Individual
BENJAMIN MARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3717 N RAVENSWOOD AVE STE 239, CHICAGO, IL 60613-4260
(773) 892-1933
Mailing address
3717 N RAVENSWOOD AVE STE 239, CHICAGO, IL 60613-4260
(773) 892-1933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150102864
IL
1041C0700X
Clinical Social Worker
Primary
149.022132
IL
Other
Enumeration date
01/25/2018
Last updated
06/10/2020
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