John Michael Benda, LICSW

NPI #1194723288 in Edina, Minnesota

Provider Information

NPI Number: 1194723288
Entity Type: Individual
Name: John Michael Benda, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jul 12, 2005
Last Updated: Jul 1, 2008

Practice Location

Address: 4005 W 65TH ST
Address 2: SUITE #216
City: Edina
State: Minnesota
ZIP Code: 55435-1720
Phone: (612) 929-0781

Specialties & Taxonomy Codes

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

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