Individual
SONJA BETH BENRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PSYCHOLOGY
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 785-6297
Mailing address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 785-6297
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2407-127
WI
Other
Enumeration date
06/22/2015
Last updated
08/10/2015
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