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Individual

SHERRY LYNN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CCPT

Contact information

Practice address
805 1ST ST, MENOMINEE, MI 49858-3231
(906) 424-4476
(906) 424-4480
Mailing address
805 1ST ST, MENOMINEE, MI 49858-3231
(906) 424-4476
(906) 424-4480

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
129573
WI
101YM0800X
Mental Health Counselor
6801098834
MI
101YM0800X
Mental Health Counselor
Primary
8611-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100041647
WI
Enumeration date
11/14/2014
Last updated
12/01/2016
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