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1104998772
WALTRAUT M BENJAMIN
PROVIDENCE, RI
NPI
1104998772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISWOO164)
Enumeration Date
2006-11-15
Last Update Date
2007-07-09
Business Address
Mrs. WALTRAUT M BENJAMIN MSW LICSW
105 MEDWAY ST
PROVIDENCE, RI 02906-4401
Phone number: 401-578-3666
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Mailing Address
Mrs. WALTRAUT M BENJAMIN MSW LICSW
59 NEW ST
REHOBOTH, MA 02769-2911
Phone number: 508-252-4861
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