Individual
BENJAMIN EMORY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
425 MALBONS MILLS RD, SKOWHEGAN, ME 04976-4128
(207) 313-4509
Mailing address
425 MALBONS MILLS RD, SKOWHEGAN, ME 04976-4128
(207) 313-4509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16665
ME
Other
Enumeration date
08/17/2014
Last updated
10/03/2018
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