Individual
BENITA CARDELL HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-LCSW
Contact information
Practice address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(352) 897-0472
Mailing address
36803 THORNHAVEN LN, DADE CITY, FL 33523-6551
(813) 787-1724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18965
FL
Other
Enumeration date
01/10/2018
Last updated
11/01/2021
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