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1679200893
BENJAMIN ELLENSON
NORTHFIELD, IL
NPI
1679200893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-08-07
Last Update Date
2022-08-07
Business Address
BENJAMIN ELLENSON LCSW
778 W FRONTAGE RD STE 113
NORTHFIELD, IL 60093-1209
Phone number: 773-412-5260
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Mailing Address
BENJAMIN ELLENSON LCSW
5002 N WESTERN AVE APT 3N
CHICAGO, IL 60625-8440
Phone number: 701-799-9568
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