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Individual

BRENDA TODD-BENSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
116 S 3RD ST, SAINT PETER, MN 56082-2043
(507) 931-8040
Mailing address
817 MADISON ST, SAINT PETER, MN 56082-1224
(507) 931-8040

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11076
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124995
UCARE INDIVIDUAL #
MN
01
58D34BE
BCBS INDIVIDUAL #
MN
01
933761024826
PREFERRED ONE INDIV #
MN
01
HP36370
HEALTH PARTNERS INDIV #
MN
Enumeration date
01/25/2007
Last updated
07/08/2007
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