| NPI | 1750190914 |
|---|---|
| Doing Business As | BEN PACKARD, MSW LICSW |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BENJAMIN PACKARD Owner 360-471-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-07-09 |