Individual
CHARISSA BENJAMART CABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
649 DAYTON AVE., ST.PAUL, MN 55104-6631
(812) 436-4840
(612) 436-2604
Mailing address
649 DAYTON AVE., ST.PAUL, MN 55104-6631
(812) 436-4840
(612) 436-2604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
29188
MN
1041C0700X
Clinical Social Worker
Primary
29188
MN
Other
Enumeration date
04/26/2021
Last updated
01/08/2025
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