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Individual

MRS. ERIN CLARK BENEDICT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
67 EASTBROOK LN, FOND DU LAC, WI 54935-5455
(309) 368-5804
Mailing address
67 EASTBROOK LN, FOND DU LAC, WI 54935-5455
(309) 368-5804

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016449
IL

Other

Enumeration date
12/28/2023
Last updated
12/28/2023
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