Provider Demographics
NPI:1912338427
Name:BENIQUEZ-CARLSON, LUZ ESTHER (MSW)
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:ESTHER
Last Name:BENIQUEZ-CARLSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MEADOW LN APT 7
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-1884
Mailing Address - Country:US
Mailing Address - Phone:646-320-9936
Mailing Address - Fax:
Practice Address - Street 1:10 MEADOW LN APT 7
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-1884
Practice Address - Country:US
Practice Address - Phone:646-320-9936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health