Individual
BENJAMIN MICHEL DI BIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 JOHN TYE RD, ROSALIA, WA 99170-9630
(509) 768-3682
Mailing address
402 JOHN TYE RD, ROSALIA, WA 99170-9630
(509) 768-3682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4171270
ID
1041C0700X
Clinical Social Worker
Primary
LW61102181
WA
Other
Enumeration date
07/31/2017
Last updated
03/02/2026
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