Thyra Jackson Benoit LCSW-C, LICSW

NPI 1003936931 - Social Worker - 1041C0700X

NPI Details
NPI 1003936931
Gender Female
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1107 SPRING ST STE A3
SILVER SPRING MD, 20910-4027, US
Phone (301) 460-3735
Fax (301) 460-3735
Business Location
1961 MIDDLEBRIDGE DR
SILVER SPRING MD, 20906-5822, US
Phone (301) 460-3735
Fax (301) 460-3735
Toxanomy
Taxonomy Code 1041C0700X
License State DO Columbia
License Number LC300115
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According to our database, Ms. Thyra Jackson Benoit LCSW-C, LICSW NPI is 1003936931, taxonomy code is 1041C0700X and license number is LC300115, license state is located at DO Columbia. Thyra Jackson Benoit LCSW-C, LICSW physically located at 1107 Spring St Ste A3, Silver Spring MD, 20910-4027. NPI Number Thyra Jackson Benoit LCSW-C, LICSW has the Individual type.

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1003936931 NPI number is provided on an as is basis without warranty of any kind. 1003936931 is maintained by the National Plan & Provider Enumeration System. The contents of Thyra Jackson Benoit LCSW-C, LICSW are for informational purposes only.