Benjamin T Bencomo, LISW

NPI #1083993406 in Las Vegas, New Mexico

Provider Information

NPI Number: 1083993406
Entity Type: Individual
Name: Benjamin T Bencomo, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Aug 16, 2011
Last Updated: Aug 16, 2011

Practice Location

Address: 47 ALAMEDA RD
City: Las Vegas
State: New Mexico
ZIP Code: 87701-3996
Phone: (505) 454-9738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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