Individual
BEN VANDUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15907 ASH WAY UNIT D610, LYNNWOOD, WA 98087-5253
(302) 270-1196
Mailing address
15907 ASH WAY UNIT D610, LYNNWOOD, WA 98087-5253
(302) 270-1196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61598963
WA
Other
Enumeration date
05/02/2019
Last updated
10/16/2024
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