Individual
MRS. DEANN BENEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
(229) 671-6774
Mailing address
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2300
(229) 671-6774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005949
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005949
LICENSE NUMBER
GA
Enumeration date
10/02/2013
Last updated
10/02/2013
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