Individual
MRS. VICTORIA LOUISE BENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W
Contact information
Practice address
325 ALUM ST, LEHIGHTON, PA 18235-2167
(610) 379-1266
Mailing address
270 W SNYDER AVE, LANSFORD, PA 18232-1118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127626
PA
Other
Enumeration date
03/07/2011
Last updated
03/09/2011
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