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1932791902
LAURA ELENA BENJAMIN
VENICE, CA
NPI
1932791902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
LAURA ELENA BENJAMIN
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
LAURA ELENA BENJAMIN
17736 HATTERAS ST APT 25
ENCINO, CA 91316-1132
Phone number: 310-392-3070
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