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Organization

JOHN M. BENDA PSYCHOTHERAPY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M. BENDA LICSW (CLINICAL SOCIAL WORKER)
(612) 929-0781
Entity
Organization

Contact information

Practice address
4005 W 65TH ST, #216, EDINA, MN 55435-1720
(612) 929-0781
(952) 285-6780
Mailing address
2911 W 40TH ST, MINNEAPOLIS, MN 55410-1111
(612) 929-0781
(952) 285-6780

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13217
MN

Other

Enumeration date
10/13/2008
Last updated
11/06/2008
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