Individual
BENJAMIN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 WARREN SQ, JAMAICA PLAIN, MA 02130-2576
(857) 719-9782
Mailing address
2 WARREN SQ, JAMAICA PLAIN, MA 02130-2576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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