Individual
MR. BRENT (NMN) BENGTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCSW, ACSW
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER ATTN: MCXN-COD MS. CUTTON, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
Mailing address
12815 W 118TH ST, OVERLAND PARK, KS 66210-1311
(913) 339-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW #550
KS
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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