Individual
BENJAMIN T MAKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4627 MORRIS ST, PHILADELPHIA, PA 19144-4226
(215) 842-3105
Mailing address
4627 MORRIS ST, PHILADELPHIA, PA 19144-4226
(215) 842-3105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW124489
PA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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