BENJAMIN DIEFFENBACH

WHITE BEAR LAKE, MN
NPI1467809624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  22483)
Enumeration Date2016-05-18
Last Update Date2024-03-04
Business Address
BENJAMIN DIEFFENBACH MSW, LICSW
2368 JOY AVE
WHITE BEAR LAKE, MN 55110-7409
Phone number: 651-338-9435
Mailing Address
BENJAMIN DIEFFENBACH MSW, LICSW
2368 JOY AVE
WHITE BEAR LAKE, MN 55110-7409
Phone number: 651-338-9435
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