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Individual

BEN Z FARBMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
700 RAY O VAC DR, SUITE 010, MADISON, WI 53711
(608) 270-1960
(608) 270-1965
Mailing address
700 RAY O VAC DR, SUITE 010, MADISON, WI 53711
(608) 270-1960
(608) 270-1965

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2990 123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2990-123
LCSW LICENSE
WI
05
39635900
WI
Enumeration date
06/19/2006
Last updated
07/08/2007
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