BENJAMIN T BENCOMO

LAS VEGAS, NM
NPI1083993406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NM  I-07690)
Enumeration Date2011-08-16
Last Update Date2011-08-16
Business Address
BENJAMIN T BENCOMO LISW
47 ALAMEDA RD
LAS VEGAS, NM 87701-3996
Phone number: 505-454-9738
Mailing Address
BENJAMIN T BENCOMO LISW
47 ALAMEDA RD
LAS VEGAS, NM 87701-3996
Phone number: 505-454-9738
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