Individual
ASHLEY J BENNERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P009726
Contact information
Practice address
121 S ELM ST, GREENSBORO, NC 27401-2601
(336) 370-9400
(336) 373-0134
Mailing address
121 S ELM ST, GREENSBORO, NC 27401-2601
(336) 370-9400
(336) 373-0134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P009726
—
NC
Enumeration date
06/11/2015
Last updated
06/29/2015
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