Individual
MICHAEL BENAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 422-7779
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00668
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08781
WELLMARK
IA
Enumeration date
02/06/2007
Last updated
07/08/2007
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