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Individual

LACEY A BENIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 929-3129
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 929-3129

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
129671-121
WI
1041C0700X
Clinical Social Worker
Primary
8681
WI

Other

Enumeration date
12/12/2016
Last updated
10/22/2025
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