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1497573679
BENJAMIN SUPER
WYOMISSING, PA
NPI
1497573679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: PA MF001661)
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
BENJAMIN SUPER
833 N PARK RD
WYOMISSING, PA 19610-1341
Phone number: 610-396-5094
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Mailing Address
BENJAMIN SUPER
624 BROWNSVILLE RD
READING, PA 19608-9728
Phone number: 484-331-8469
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