Benjamin Dieffenbach, MSW, LICSW
NPI #1467809624 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1467809624
- Entity Type
- Individual
- Name
- Benjamin Dieffenbach, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- May 18, 2016
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 2368 JOY AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-7409
- Phone
- (651) 338-9435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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