BENJAMIN SUPKOFF

LOS ANGELES, CA
NPI1720338619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2012-09-18
Last Update Date2012-09-18
Business Address
Mr. BENJAMIN SUPKOFF
765 WEYBURN TER #102
LOS ANGELES, CA 90024-2843
Phone number: 916-743-1606
Mailing Address
Mr. BENJAMIN SUPKOFF
765 WEYBURN TER #102
LOS ANGELES, CA 90024-2843
Phone number: 916-743-1606
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