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1467472183
BENJAMIN HARRISON
SPRINGFIELD, OH
NPI
1467472183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I-0005854)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Mr. BENJAMIN HARRISON LISW
512 S BURNETT RD
SPRINGFIELD, OH 45505-2720
Phone number: 937-328-3385
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Mailing Address
Mr. BENJAMIN HARRISON LISW
4763 SNIDER RD
FAIRBORN, OH 45324-1895
Phone number: 937-864-7053
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