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Individual

MR. BENJAMIN JOSEPH ELGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW-33031

Contact information

Practice address
1020 MAIN STREET, LEWISTON, ID 83501-3701
(208) 310-6931
Mailing address
508 SOUTHWAY DR APT 3, LEWISTON, ID 83501-3701
(208) 310-6931

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-33031
ID

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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