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1740877364
HEIDI HERNDON BENJAMIN
PULLMAN, WA
NPI
1740877364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA 60576756)
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
HEIDI HERNDON BENJAMIN MED
600 SW FOUNTAIN ST
PULLMAN, WA 99163-2154
Phone number: 509-332-0451
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Mailing Address
HEIDI HERNDON BENJAMIN MED
PO BOX 1245
PULLMAN, WA 99163-1260
Phone number: 509-332-0451
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