Individual
BENJAMIN ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3439 DUNN ST SE, SMYRNA, GA 30080-7928
(404) 583-7994
Mailing address
3439 DUNN ST SE, SMYRNA, GA 30080-7928
(404) 583-7994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006161
GA
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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