Individual
CARRIE ANN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8670 W SUZETTE LN, FLAGSTAFF, AZ 86001-8134
(480) 316-4464
Mailing address
8670 W SUZETTE LN, FLAGSTAFF, AZ 86001-8134
(480) 316-4464
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
9070
AZ
Other
Enumeration date
12/28/2006
Last updated
12/15/2008
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