Individual
BRADFORD B BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISCW
Contact information
Practice address
3332 DELTA AVE, MINNETONKA, MN 55305-4502
(952) 945-0057
Mailing address
3332 DELTA AVE, MINNETONKA, MN 55305-4502
(952) 945-0057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2874
MN
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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