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Individual

BENJAMIN JOSEPH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 N PALM CANYON DR STE A1-A4, PALM SPRINGS, CA 92262-1868
(760) 424-5602
Mailing address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(760) 660-5785

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108945
CA

Other

Enumeration date
04/23/2021
Last updated
07/21/2024
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