Individual
JENNAH E BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC-IT
Contact information
Practice address
1 S MAIN STREET, JANESVILLE, WI 53545-3977
(608) 757-0404
(608) 757-2319
Mailing address
PO BOX 8010, JANESVILLE, WI 53547-8010
(608) 757-0404
(608) 757-2319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4640-226
WI
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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