Individual
AVENN BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
Mailing address
3079 S BALDWIN RD, PMB 5012, LAKE ORION, MI 48359-1028
(248) 705-5217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851114833
MI
Other
Enumeration date
06/23/2022
Last updated
05/05/2023
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