Individual
BENITO JIMENEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 232-2766
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 232-2766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801095919
MSW
MI
Enumeration date
09/30/2013
Last updated
09/30/2013
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