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Individual

MR. GREGORY SCOTT BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 671-5920
Mailing address
2616 N FREDERICK AVE APT 323, MILWAUKEE, WI 53211-3614
(414) 213-9190

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC1900X
Counseling Psychologist

Other

Enumeration date
07/02/2008
Last updated
07/02/2008
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