GARRY BENJAMIN SPAIN

GLOUCESTER, VA
NPI1457829749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904010753)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
GARRY BENJAMIN SPAIN LCSW
6565 WYSTERIA LN
GLOUCESTER, VA 23061-3787
Phone number: 804-577-0439
Mailing Address
GARRY BENJAMIN SPAIN LCSW
6565 WYSTERIA LN
GLOUCESTER, VA 23061-3787
Phone number: 804-577-0439
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