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1447894712
BENJAMIN ROBERT TAVARES
PHILADELPHIA, PA
NPI
1447894712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW136690)
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
BENJAMIN ROBERT TAVARES LSW
4725 CHESTER AVE APT B2
PHILADELPHIA, PA 19143-3532
Phone number: 978-380-2876
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Mailing Address
BENJAMIN ROBERT TAVARES LSW
4725 CHESTER AVE APT B2
PHILADELPHIA, PA 19143-3532
Phone number: 978-380-2876
Copy
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