Individual
MRS. MARY ANN THERESA BENSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
1800 MARKET ST, LEWISBURG, PA 17837-1236
(570) 524-9477
(570) 524-9492
Mailing address
4 MEADOWBROOK DR, SELINSGROVE, PA 17870-9113
(570) 743-1054
(570) 374-7529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-013397-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03268701
CAPITAL BLUE CROSS
PA
Enumeration date
06/01/2006
Last updated
07/08/2007
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