Individual
BENJAMIN JOSE MEDINA-SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
501 6TH AVE S, ST. PETERSBURG, FL 33701-4409
(727) 767-4619
Mailing address
501 6TH AVE S, ST. PETERSBURG, FL 33701
(727) 767-4619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
07/13/2024
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