Individual
BENJAMIN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
375 RAINBOW LN, MIDWAY, UT 84049-7001
(435) 654-1082
(435) 654-1485
Mailing address
375 RAINBOW LANE, PO BOX 1000, MIDWAY, UT 84049
(435) 654-1082
(435) 654-1485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
533760601-3501
UT
Other
Enumeration date
02/11/2010
Last updated
08/06/2014
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