Individual
MRS. SHANTREASE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2677 N 40TH ST, MILWAUKEE, WI 53210-2505
(414) 447-1965
(414) 874-2820
Mailing address
2677 N 40TH ST, PO BOX 100268, MILWAUKEE, WI 53210-2505
(414) 447-1965
(414) 874-2820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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