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1023561990
BENJAMIN WENETZKY
BOISE, ID
NPI
1023561990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 39857)
Enumeration Date
2016-07-27
Last Update Date
2022-07-19
Business Address
BENJAMIN WENETZKY LCSW
7285 W FRANKLIN RD
BOISE, ID 83709-0926
Phone number: 208-853-5095
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Mailing Address
BENJAMIN WENETZKY LCSW
7285 W FRANKLIN RD
BOISE, ID 83709-0926
Phone number: 208-853-5095
Copy
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