Individual
HANNAH ROSE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1400 AIRPORT NORTH OFFICE PARK STE D, FORT WAYNE, IN 46825-6723
(260) 702-9141
Mailing address
127 HEENAN ST, CORUNNA, IN 46730-1006
(630) 877-7760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-24-77807
IN
Other
Enumeration date
09/11/2024
Last updated
12/02/2024
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