Individual
MARI ALYCE BENSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
600 N HOLTZCLAW AVE, STE 100, CHATTANOOGA, TN 37404-1242
(423) 622-0500
(423) 622-0564
Mailing address
1400 MCCALLIE AVE, STE 100, CHATTANOOGA, TN 37404-2927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW04479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927752
—
TN
Enumeration date
10/06/2005
Last updated
03/05/2020
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