Individual
MR. BENJAMIN H ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
720 WESTERN AVE STE 205, MINOT, ND 58701-3700
(701) 335-6005
Mailing address
720 WESTERN AVE STE 205, MINOT, ND 58701-3700
(701) 335-6005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
31853
ID
1041C0700X
Clinical Social Worker
Primary
5645
ND
1041C0700X
Clinical Social Worker
LCSW-994
WY
1041C0700X
Clinical Social Worker
PCSW-638
WY
Other
Enumeration date
01/30/2012
Last updated
03/16/2020
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