Individual
ELISABETH GRACE BENOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1726 17TH ST S, ST PETERSBURG, FL 33712-2814
(305) 934-7638
Mailing address
2850 34TH ST N # 1140, ST PETERSBURG, FL 33713-3635
(305) 934-7638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
05/21/2024
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