Individual
MS. BEVERLY BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
119 AND A HALF N. MAIN, CIMARRON, KS 67835-0243
(620) 855-0241
(620) 855-3401
Mailing address
113 NORTH MAIN STREET, BOX 243, CIMARRON, KS 67835-0243
(620) 855-0241
(620) 855-3401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW4523
KS
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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