Individual
MONICA ELAINE BENNEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
146 CCA WAY, LUMPKIN, GA 31815
(229) 838-1275
(229) 838-1242
Mailing address
146 CCA WAY, LUMPKIN, GA 31815
(229) 838-1275
(229) 838-1242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004217
GA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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